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Testing Report for 2021-02-22-13-3

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

Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-02-22-13
TL Number from the TL Form:
Sample Submitted By Organization: Syar Industries, Inc.
Sample Organization Contact: 707-259-5705
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 02/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2021
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: 1/2" Con Agg
From where was the sample collected: Manufacturer
Laboratory sample identification:
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: Syar Lake Herman Quarry
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: 2021-02-22-13-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/24/2021
Date Tested: 02/22/2021
Submitted By Organization: Syar Industries, Inc.
Organization Address: 2301 Napa-Vallejo Hwy,P.O. Box 2540
Organization City: Napa
Organization State: CA
Organization Zipcode: 94558
Organization Email: mherlax@syar.com
Organization Phone: 707-259-5705
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Grading C
Percent wear 21 %