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Testing Report for 2015-08-25-11-1

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

Project Information

Project ID: 210217 DEA: 051A7204 EFIS: 0512000012 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-21.0/27.1
Work Description: COLD PLANE AND OVERLAY EXISTING ROADBED WITH RHMA-G.
Location Description: SANTA BARBARA COUNTY IN AND NEAR GOLETA FROM MARIA YGNACIO CREEK BRIDGE TO 0.2 MILE NORTH OF CATHEDRAL OAKS OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jason Kline Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2015-08-25-11
TL Number from the TL Form: C755392
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/25/2015
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2015
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: 15FPCC-0375
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sisauoc Mine

Material Information

Source Identification (SMARA or name of Pit): 91-42-0014
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:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2015-08-25-11-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Verified Date: 10/06/2015
Date Tested: 10/06/2015
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 4.5 %