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Sample Record for 2019-04-01-11

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

Project Information

Project ID: 212753 DEA: 020H7604 EFIS: 0215000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,PLU-VAR-VAR
Work Description: FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location Description: LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 HWT 89, BURNEY, CA 96013
Resident Engineer: Ron Collins Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-01-11
TL Number from the TL Form:
Sample Submitted By Organization: CGI Technical Services, Incorporated
Sample Organization Contact: (530) 244-6277
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 04/01/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/01/2019
The quantity of what the sample constitutes: production stockpile.
A brief description of the sample: Washed Dust
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Ward Lake

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-18-0008::WARD LAKE PIT
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Plant Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-04-01-11-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/08/2019
Date Tested: 04/02/2019
Submitted By Organization: CGI Technical Services, Incorporated
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? Combined Gradation
Cumulative percent passing the 2 in. sieve 100 %
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 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the #4 sieve 95 %
Cumulative percent passing the #8 sieve 60 %
Cumulative percent passing the #16 sieve 37 %
Cumulative percent passing the #30 sieve 22 %
Cumulative percent passing the #50 sieve 12 %
Cumulative percent passing the #100 sieve 5 %
Cumulative percent passing the #200 sieve 2.9 %