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Testing Report for 2015-04-14-9-3

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

Project Information

DEA: 043G7604
EFIS: 0412000170
Project ID: 209866
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-128-20.2
Work Description: INSTALL HORIZONTAL DRAINS, SLOPE INDICATORS, AND HIGHWAY PLANTING.
Location Description: NAPA COUNTY NEAR CAPELL CREEK BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Steve Russell
Structure Rep.: Long Ly

Sample Information

DIME Sample ID: 2015-04-14-9
TL Number from the TL Form: C871726 thru C871731
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 4/14/2015
Date that the sample was received by the laboratory/organization performing the testing: 4/15/2015
The quantity of what the sample constitutes: 9 bags
A brief description of the sample: JMF Verification
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Lake Herman

Material Information

Source Identification (SMARA or name of Pit): NA
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 at plant
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: 2015-04-14-9-3
Test Method: CTM 217-November 2014: Method of Test for Sand Equivalent
Date Tested: 4/17/2015
Verified Date: 5/6/2015
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:
Test Result Compliance: comply
Additional Comments When Verified :

Submitted Test Results

Sand Equivalent: 57