Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for storing JMF sample data
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-05-16-121
TL Number from the TL Form:
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 05/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2024
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Combined Untreated 3/4-inch Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis – Northstate Asphalt (Redding, CA)
Source Identification (SMARA, name of Pit or Job Site): 91-45-0057::Shasta Ranch Aggregates (Anderson, CA) and 91-45-0061::Latona Aggregates (Anderson, CA)
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: Laboratory-Batched from Untreated Sized Aggregate Stockpile samples
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:
DIME Test ID: 2024-05-16-121-1
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Verified Date: 01/06/2025
Date Tested: 04/26/2024
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test: Submitted from JMF - Ward Jenkins
Test Result Compliance:
Additional Comments When Verified:
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Size of aggregate being tested
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Coarse and Fine Aggregate
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What type of solution was used?
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no data
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What was the condition of the solution?
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no data
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Number of immersion cycles performed
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no data
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Coarse weighted average loss
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2 %
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Fine weighted average loss
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5 %
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