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Testing Report for 2014-01-24-10010899-2

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

Project Information

Project ID: 2358 DEA: 044A3304 EFIS: 0400001126 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-101-48.7/52.0
Work Description: CONSTRUCT AUXILIARY LANES ,EXTEND EXIST. HOV LANES IN BOTH DIRECTION.
Location Description: SANTA CLARA COUNTY IN MOUNTAIN VIEW AND PALO ALTO FROM 0.1 MILE NORTH OF SHORELINE BOULEVARD OVERCROSSING TO OREGON EXPRESSWAY OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Moaid Laymoun Structure Rep.: Feng, Jerry

Sample Information

DIME Sample ID: 2014-01-24-10010899
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 01/24/2014
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Sand
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex/Eliot 91-01-0009

Material Information

Source Identification (SMARA or name of Pit): 14FPCC-0004 C713885
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:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-01-24-10010899-1
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Verified Date: 01/24/2014
Date Tested: 01/24/2014
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Additional Comments When Verified :

Submitted Test Results

Weighted Average Percent Loss of Fine Aggregate 2.9 %