Sample Record for 2023-08-24-73
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994247 DEA: 051H8604 EFIS: 0517000002
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-46.2/R52.3
Work Description: COLD PLANE AC PVMT, PLACE HMA, RHMA-G, HMA-0, REPLACE MEDIAN BARRIER.
Location Description: SANTA BARBARA COUNTY NEAR GAVIOTA FROM 0.1 MILE NORTH OF GAVIOTA BEACH STATE PARK TO OLD COAST HIGHWAY
Contractor Name: CALPORTLAND COMPANY
Contractor Address: 1625 E DONOVAN RD, SANTA MARIA, CA 93456
Resident Engineer: Jason Torres Structure Rep.: Sal Heredia
Sample Information
DIME Sample ID: 2023-08-24-73
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/24/2023
The quantity of what the sample constitutes: Up to 750 Tons
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Supplier
Laboratory sample identification: 230824A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland-Garey
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-42-0014
The fabricator's/manufacturer's product name for the sample: .75in coldfeed
The fabricator/manufacturer designation for the sample: L1SL3
The plant number: Calportland Garey
A detailed description of where the material sample was collected: Belt Discharge
Where the material sample would have been placed if not sampled: HWY 1 Pismo Beach
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 3
Aggregate Mix Number: D1215H530
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2023-08-24-73-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 01/04/2024 | Not scheduled | Isaac Gleffe | CT D05 - Santa Maria Field Laboratory | L1SL3Gradation. | |
94805
