DIME - Test Summary

Summary for Test 2025-04-15-50-1

Test performed: AASHTO T104-99r16

Project Identifiers	Project ID: 995524 DEA: 021H3604 EFIS: 0216000040
DIST-CO-RTE-PM	02-SIS-96-76.8/78.0
Award Date	03/22/2024
Closeout Date	Not set
Work Description	REPLACE BRIDGE.
Location Description	SISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK
QA Service Level	1 (Verified on 12/27/2023)

Sample Taken Date	04/15/2025	Sample Unique Key	50
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	04/15/2025
Sample type	Verification	A brief description of the sample	2 bags of 3/8″ Untreated Sized Virgin Aggregate
The quantity of what the sample constitutes	JMF Verification and Annual Soundness Testing	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Giuliano	Last name of sampler or witnessed by	Giuntoli
Title of sampler	JET	Telephone number of sampler
Laboratory sample identification	D79842B	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Tullis — Northstate Asphalt (Redding, CA)	Transportation Laboratory (TL) Number	823562B
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-45-0061::Latona Aggregates (Anderson, CA)
The fabricator's/manufacturer's product name for the sample	3/8″	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Stockpile
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

DIME Sample ID: 2025-04-15-50

DIME Test ID: 2025-04-15-50-1

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)

Test Release Date: 2025-07-09

Percentage of the total sample represented by each size

Size of aggregate being tested: Fine Aggregate

What type of solution was used?: Sodium sulfate

What was the condition of the solution?: Freshly prepared

Number of immersion cycles performed: 5

Input Type: Calculated

Tester's full name: Eddie Jabbour

Date of test: 06/27/2025

Percentage of ⅜ inch x No. 4 material loss: 2 %

Percentage of No. 4 x 8 material loss: 2 %

Percentage of No. 8 x 16 material loss: 0 %

Percentage of No. 16 x 30 material loss: 0 %

Percentage of No. 30 x 50 material loss: 0 %

Fine weighted average loss: 2 %

General comments (publicly viewable) (Max 1000 characters): Due to Translab closure, sample tested at SRL

Test was verified on 7/9/2025 ✔