DIME - Test Summary

Summary for Test 2018-04-12-8-2

Test performed: AASHTO T104-99r16

Project Identifiers	Project ID: 212497 DEA: 024E0204 EFIS: 0200020196
DIST-CO-RTE-PM	02-SHA-299-77.8/79.7
Award Date	02/01/2018
Closeout Date	08/14/2019
Work Description	PULVERIZE AND RECONSTRUCT PAVEMENT, AND WIDEN WITH AB, HMA, & RHMA
Location Description	SHASTA COUNTY NEAR BURNEY FROM 0.2 MILE WEST OF SONOMA STREET TO 0.3 MILE WEST OF ROUTE 89
QA Service Level	1 (Verified on 06/06/2017)

Sample Taken Date	04/12/2018	Sample Unique Key	8
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	05/09/2018
Sample type	Annual Source Testing	A brief description of the sample	Coarse and fine aggregate
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Source
First name of sampler or witnessed by	Tofael	Last name of sampler or witnessed by	Anwar
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	18-0083	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Hat Creek - Shaw Pit Facility	Transportation Laboratory (TL) Number	C853528
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-25-0008::SHAW 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	Stockpile
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	Unknown	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set
HMA Pay	No

DIME Sample ID: 2018-04-12-8

DIME Test ID: 2018-04-12-8-2

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: 2018-06-08

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?: Previously used

Number of immersion cycles performed: 5

Input Type: Calculated

Tester's full name: Phillip Montes

Date of test: 06/08/2018

Percentage of ⅜ inch x No. 4 material loss: no data

Percentage of No. 4 x 8 material loss: no data

Percentage of No. 8 x 16 material loss: no data

Percentage of No. 16 x 30 material loss: no data

Percentage of No. 30 x 50 material loss: no data

Fine weighted average loss: 9.2 %

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

Test was verified on 6/8/2018 ✔