Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66666 DEA: APP EFIS: 0019000052
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-03-08-37
TL Number from the TL Form:
Sample Submitted By Organization: Hi Grade Materials
Sample Organization Contact: (360) 269-2402
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 03/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/08/2022
The quantity of what the sample constitutes: 5 Bags
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade Materials Lucern Valley
Source Identification (SMARA, name of Pit or Job Site): 91-36-0042
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-03-08-37-1
Test Method: ASTM C1260-14: Standard Test Method for Potential Alkali Reactivity of Aggregates (Mortar-Bar Method)
Verified Date: 04/03/2023
Date Tested: 03/08/2022
Submitted By Organization: Hi Grade Materials
Organization Address: 17671 Bear Valley Road,
Organization City: Hesperia
Organization State: CA
Organization Zipcode: 92345
Organization Email: pauljohnson@robar.com
Organization Phone: (760) 985-1347
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Type and source of aggregate
|
washed concrete sand Lucerne Valley
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Type and source of Portland cement
|
Mitsubishi, Cushenbury
|
|
Alkali content of cement as percent potassium oxide
|
0.55
|
|
Alkali content of cement as percent sodium oxide
|
0.55
|
|
Alkali content of cement as percent calculated sodium oxide
|
0.55
|
|
Comments about aggregate preparation
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no data
|
|
Comments about specimen features
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no data
|
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Amount of mixing water
|
1N NaOH
|
|
Average percent change in length (zero reading)
|
0.0000 %
|
|
Average percent change in length (first reading)
|
0.0200 %
|
|
Average percent change in length (second reading)
|
0.0300 %
|
|
Average percent change in length (third reading)
|
0.0500 %
|
