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Testing Report for 2014-03-06-7460170-1

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

Project Information

Project ID: 1841 DEA: 041706U4 EFIS: 0400000450 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880-30.0/ 31.0
Work Description: 5th Avenue Overhead Bridge Replacement
Location Description: 5th Ave and 880. Â
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ta Seng Structure Rep.: Pannu, Art

Sample Information

DIME Sample ID: 2014-03-06-7460170
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: 03/06/2014
Date that the sample was received by the laboratory/organization performing the testing: 02/10/2014
The quantity of what the sample constitutes: 1Bag
A brief description of the sample: 3/8/2014
From where was the sample collected: Source
Laboratory sample identification: 14CPCC-0080 C690239
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Matls Vernalis

Material Information

Source Identification (SMARA or name of Pit): 91-39-0021
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: 2014-03-06-7460170-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Verified Date: 03/06/2014
Date Tested: 03/06/2014
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

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
Weighted Average Percent Loss of Coarse Aggregate 2.1 %