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Testing Report for 2020-12-09-8-4

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

Project Information

Project ID: 215267 DEA: 041W3804 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Steve Russel Structure Rep.: jose David

Sample Information

DIME Sample ID: 2020-12-09-8
TL Number from the TL Form: no TL
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 12/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2020
The quantity of what the sample constitutes: 2-40lbs box
A brief description of the sample: Calcined Bauxite
From where was the sample collected: Source
Laboratory sample identification: 20-0229
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Great Lakes Minerals, LLC

Material Information

Source Identification (SMARA or name of Pit): not supply
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: source
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-12-09-8-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 12/14/2020
Date Tested: 12/10/2020
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: Special Gradation: Result in #8, #16, #30 will replace with #6, #8, #16. #4 = 100% #6 = 99% #8 = 48% #16 = 1%
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Percent moisture 0.0000000000 %