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

Sample Record for 2016-06-03-21


Project Information

Project ID: 209616 DEA: 024E4404 EFIS: 0200020285 QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-139-R10.7/28.0
Work Description: FULL DEPTH PAVEMENT RECLAMATION, HMA AND RUBBERIZED HMA.
Location Description: IN MODOC COUNTY ABOUT 17 MILES SOUTH OF NEWELL FROM 0.1 MILE NORTHOF BOLES ROAD TO 0.1 MILE SOUTH OF PEREZ ROAD.
Contractor Name: Hat Creek Construction Contractor Address: 24339 Highway 89N
Resident Engineer: Jeff Steppat Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2016-06-03-21
TL Number from the TL Form: C847794
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 06/03/2016
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 4bags
A brief description of the sample: three quarter inch HMA Type A
From where was the sample collected: Source
Laboratory sample identification: 16CPCC-0274
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008::SHAW PIT
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
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:

Test Results

Test Information 1 of 1

DIME Test ID: 2016-06-03-21-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Verified Date: 07/18/2016
Date Tested: 07/13/2016
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments:
Additional Comments When Verified:
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 #4 sieve no data
Weighted Average Percent Loss of Coarse Aggregate 3.3 %
Weighted Average Percent Loss of Fine Aggregate 4.1 %