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Testing Report for 2021-02-08-30-1

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

Project Information

Project ID: 214422 DEA: 040J6424 EFIS: 0414000476 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-101-32.8/R54.2
Work Description: CRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS.
Location Description: SONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Syd Valeh Structure Rep.: Jonathan Chi

Sample Information

DIME Sample ID: 2021-02-08-30
TL Number from the TL Form: C044327
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 02/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/8 aggregate
From where was the sample collected: Source
Laboratory sample identification: 21-PCCC-0064
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Healdsburg

Material Information

Source Identification (SMARA or name of Pit): 91-49-0030
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: stock pile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-02-08-30-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Verified Date: 05/04/2021
Date Tested: 04/30/2021
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Percentage Loss of material retained on 2 x 1 ½ in. sieve no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve no data
Percentage Loss of material retained on 1 x ¾ in. sieve no data
Percentage Loss of material retained on ¾ x ½ in. sieve no data
Percentage Loss of material retained on ½ x ⅜ in. sieve no data
Percentage Loss of material retained on ⅜ in. x #4 sieve no data
Weighted Average Percent Loss of Coarse Aggregate 4.6 %