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Testing Report for 2014-12-13-2-1

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

Project Information

DEA: 04014084
EFIS: 0412000666
Project ID: 7796
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-2.2
Work Description: CONSTRUCT ROADWAY, BUILDINGS, PARKING LOTS, AND LIGHTING SYSTEM
Location Description: ALAMEDA COUNTY AT THE SAN FRANCISCO - OAKLAND BAY BRIDGE MAINTENANCE YARD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mahantesh Anigol
Structure Rep.: Hazzaa El-Mahmoud

Sample Information

DIME Sample ID: 2014-12-13-2
TL Number from the TL Form: C863733
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: 12/13/2014
Date that the sample was received by the laboratory/organization performing the testing: 4/16/2015
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 1x4
From where was the sample collected: Source
Laboratory sample identification: 15CPCC-0211
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Clayton

Material Information

Source Identification (SMARA or name of Pit): 91-07-0004
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: 2014-12-13-2-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 4/16/2015
Verified Date: 5/7/2015
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:
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: 1.9 %