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Sample Record for 2023-03-07-34

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

Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
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

Sample Information

DIME Sample ID: 2023-03-07-34
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: 03/07/2023
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: 1" aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: Twining, Incorporated - Long Beach
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade Material Lucerne Valley

Material Information

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: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2023-03-07-34-1
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:
Organization Phone: (760) 985-1347
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Type and source of aggregate aggregate
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 no data
Comments about specimen features no data
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 %