Sample Record for 2020-03-02-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last
Sample Information
DIME Sample ID: 2020-03-02-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/06/2022
The quantity of what the sample constitutes: 1
A brief description of the sample: 12
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: aaa
Material Information
Source Identification (SMARA, name of Pit or Job Site): 12323123
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: testing site
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 3
DIME Test ID: 2020-03-02-1-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 03/02/2020
Date Tested: 03/01/2020
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested?
|
HMA Gradation
|
Cumulative percent passing the 1 1/2 in. sieve
|
100 %
|
Cumulative percent passing the 1 in. sieve
|
100 %
|
Cumulative percent passing the 3/4 in. sieve
|
98.8 %
|
Cumulative percent passing the 1/2 in. sieve
|
89.6 %
|
Cumulative percent passing the 3/8 in. sieve
|
75.4 %
|
Cumulative percent passing the 1/4 in. sieve
|
100 %
|
Cumulative percent passing the #4 sieve
|
51.6 %
|
Cumulative percent passing the #8 sieve
|
39.7 %
|
Cumulative percent passing the #16 sieve
|
29.5 %
|
Cumulative percent passing the #30 sieve
|
21.4 %
|
Cumulative percent passing the #50 sieve
|
12.8 %
|
Cumulative percent passing the #100 sieve
|
6.4 %
|
Cumulative percent passing the #200 sieve
|
3.28 %
|
Test 2 of 3
DIME Test ID: 2020-03-02-1-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 03/02/2020
Date Tested: 03/01/2020
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity
|
2.500
|
Bulk specific gravity (SSD Basis)
|
2.560
|
Apparent specific gravity
|
2.660
|
Absorption
|
2.4 %
|
Test 3 of 3
DIME Test ID: 2020-03-02-1-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 03/02/2020
Date Tested: 03/01/2020
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing
|
Bulk
|
Specific Gravity
|
2.524
|
Absorption
|
2.2 %
|