DIME - Test Summary

Summary for Test 2021-02-05-26-3

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	02/05/2021	Sample Unique Key	26
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	03/12/2021
Sample type	Aggregate Prequalification Program	A brief description of the sample	3/8" crushed rock APP
The quantity of what the sample constitutes	about 140 lb	From where was the sample collected	Source
First name of sampler or witnessed by	Jordan Baker	Last name of sampler or witnessed by	Jordan Baker
Title of sampler	QC Manager	Telephone number of sampler	530-227-0982
Laboratory sample identification	21-APP-0041	Linked DIME Sample ID	2021-02-05-23
The fabricator/manufacturer/facility name	Deer Creek Rock and Asphalt	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-54-0021::DEER CREEK ASPHALT
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 at plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-02-05-26

DIME Test ID: 2021-02-05-26-3

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate

Test Release Date: 2021-04-02

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Ryan Kester/Jay Horton

Date of test: 04/02/2021

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data

Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data

Percentage Loss of material retained on 1 x ¾ in. sieve: no data

Percentage Loss of material retained on ¾ x ½ in. sieve: no data

Percentage Loss of material retained on ½ x ⅜ in. sieve: no data

Percentage Loss of material retained on ⅜ in. x #4 sieve: no data

Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data

Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data

Percentage Loss of material retained on 3/4 in. through #4 sieve: no data

Weighted Average Percent Loss of Coarse Aggregate: 0.9 %

Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum): no data

Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum): no data

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/2/2021 ✔