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Testing Report for 2015-05-06-4-5

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

Project Information

DEA: 043G6504
EFIS: 0412000150
Project ID: 209767
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-680-0.35/13.10
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: JOYTSNA SHARMA
Structure Rep.: Mohammad Nasim

Sample Information

DIME Sample ID: 2015-05-06-4
TL Number from the TL Form: C667676 thru C667681
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 227-7283
Type of Sample: Verification
Type of Material: Job Mix Formula Partial
Sample Taken Date: 5/6/2015
Date that the sample was received by the laboratory/organization performing the testing: 5/8/2015
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 1/2 HMA
From where was the sample collected: Source
Laboratory sample identification: 15ASPH0237 thru 15ASPH0241
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Lake Herman

Material Information

Source Identification (SMARA or name of Pit): 91-48-0002
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
Superpave or Non-superpave Mix:

Test Information

DIME Test ID: 2015-05-06-4-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Date Tested: 5/14/2015
Verified Date: 6/2/2015
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email:
Organization Phone: (916) 227-7283
General Comments for this Test:
Test Result Compliance: comply
Additional Comments When Verified :

Submitted Test Results

What test method is performed?: Method A
Bulk dry specific gravity: 2.576 grams
Average uncompacted voids: 45.1 %