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Sample Record for 2024-08-13-20

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215220 DEA: 07210624 EFIS: 0719000068 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Work Description: PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description: IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
Contractor Name: OHL USA
Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614
Resident Engineer: Michael Wang Structure Rep.: Ryan Valentine

Sample Information

DIME Sample ID: 2024-08-13-20
TL Number from the TL Form: C 006819
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2024
The quantity of what the sample constitutes: 200 CY
A brief description of the sample: 1" Max PCC Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 034A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson Ready Mix Concrete-Pomona

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0061
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number: 5
A detailed description of where the material sample was collected: Belt Cut at Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: RRM22111
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-08-13-20-1
Test Method: ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 08/21/2024
Date Tested: 08/13/2024
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? 1 in. x No. 4 - Coarse Aggregate
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 97 %
Cumulative percent passing the 3/4 in. sieve 72 %
Cumulative percent passing the 1/2 in. sieve 28 %
Cumulative percent passing the 3/8 in. sieve 14 %
Cumulative percent passing the #4 sieve 7 %
Cumulative percent passing the #8 sieve 7 %