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Sample Record for 2019-04-01-23

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: 2019-04-01-23
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: Antistrip Additive
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
A brief description of the sample: Hydrated Lime
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Ward Lake

Material Information

Antistrip Type: Lime - hydrated lime
Antistrip Additive Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-04-01-23-1
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 100 %
Cumulative percent passing the #8 sieve 100 %
Cumulative percent passing the #16 sieve 100 %
Cumulative percent passing the #30 sieve 100 %
Cumulative percent passing the #50 sieve 100 %
Cumulative percent passing the #100 sieve 100 %
Cumulative percent passing the #200 sieve 100 %