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Testing Report for 2020-12-22-9-6

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-22-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 12/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2021
The quantity of what the sample constitutes: One JMFPP Verification
A brief description of the sample: Bags of Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D5 21-J-002
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:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: At the Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-12-22-9-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 01/22/2021
Date Tested: 01/26/2021
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email:
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified :

Submitted Test Results

Bulk specific gravity 2.547
Bulk specific gravity (SSD Basis) 2.648
Apparent specific gravity 2.833
Absorption 4 %