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Testing Report for 2020-10-29-29-10

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

Project Information

DEA: 024F6004
EFIS: 0213000012
Project ID: 214515
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS,TRI-36,96,299-VAR
Work Description: BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location Description: SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Sunil Repaka
Structure Rep.: Robert Thompson

Sample Information

DIME Sample ID: 2020-10-29-29
TL Number from the TL Form: 853340
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 10/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 1/2-inch Type A Untreated Virgin Aggreagte
From where was the sample collected: Source
Laboratory sample identification: D78689F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer-Fraser Company, Willow Creek Plant

Material Information

Source Identification (SMARA or name of Pit): 91-12-0007
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: Lab-Batched from Sized Untreated Aggregate Stockpiles
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: JMF 20-11-S3
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-10-29-29-10
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Date Tested: 12/15/2020
Verified Date: 4/2/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Method: B
Determination: By Mass
Dimensional ratio used: 5:1
Weighted percentage of particles (by mass) that were flat and elongated: 6 %
Weighted percentage of particles (by mass) that were not flat and elongated: 94 %