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Testing Report for 2020-02-25-12-2

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

Project Information

Project ID: 212501 DEA: 022E4804 EFIS: 0200000586 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96,263-103.1/103.6,56.8/57.2
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nicole Mallory Structure Rep.: O'Sullevan, Andy

Sample Information

DIME Sample ID: 2020-02-25-12
TL Number from the TL Form: 001681
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 02/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2020
The quantity of what the sample constitutes: 60 yd (Day's Concrete)
A brief description of the sample: Coarse Aggregate (1 inch x No. 4)
From where was the sample collected: Manufacturer
Laboratory sample identification: D78333A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mountain Ready Mix

Material Information

Source Identification (SMARA or name of Pit): 91-47-0014::MOORES GRAVEL
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: Belt at Plant
Where the material sample would have been placed if not sampled: Left Retaining Wall Footing of Abutment 8
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: CT675S
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-02-25-12-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 03/11/2020
Date Tested: 02/26/2020
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Additional Comments When Verified:

Submitted Test Results

Cleanness value (single primary size) 91