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Testing Report for 2021-05-08-4-2

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

Project Information

Project ID: 215359 DEA: 081K1904 EFIS: 0818000207 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-16.1/169.4
Work Description: REMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Thanh Pham Structure Rep.: Monty Navarro

Sample Information

DIME Sample ID: 2021-05-08-4
TL Number from the TL Form: C
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Aggregate filler for Rapid set
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-PCC-0100
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: not provided

Material Information

Source Identification (SMARA or name of Pit): na
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: Original Manufacturer Packaging
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: 2021-05-08-4-1
Test Method: CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying
Verified Date: 06/01/2021
Date Tested: 06/25/2021
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

Oops.. looks like no test results have been submitted for the test.
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