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Testing Report for 2021-03-05-20-2

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

Project Information

DEA: 033F5404
EFIS: 0313000136
Project ID: 214492
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99,160-4.5/5.7,R44.5
Work Description: FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description: SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mohssen Ghassemi
Structure Rep.: Chris Quon

Sample Information

DIME Sample ID: 2021-03-05-20
TL Number from the TL Form: C 849135
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 3/5/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/8/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4" (Nominal) Untreated Virgin Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-009
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins - Continuous Plant Dreyer Drum

Material Information

Source Identification (SMARA or name of Pit): 91-34-0045
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: Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2021-03-05-20-2
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 3/18/2021
Verified Date: 4/19/2021
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF21-009.
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Grading designation: C
Percent loss after 100 revolutions: 5 %
Percent loss after 500 revolutions: 19 %