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Testing Report for 2021-05-24-20-3

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

Project Information

DEA: MAINTENANCE
EFIS: MAINTENANCE
Project ID: 22222
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for materials used in maintenance projects.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-24-20
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: 5/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/25/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: top sand
From where was the sample collected: Source
Laboratory sample identification: 21-0101
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Echo Summit Yard South Lake Tahoe

Material Information

Source Identification (SMARA or name of Pit): not provided
The fabricator's/manufacturer's product name for the sample: Top Sand
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Cinderlite top sand
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-05-24-20-3
Test Method: CTM 229-June 2011: Method of Test for Durability Index
Date Tested: 5/28/2021
Verified Date: 6/2/2021
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

Fine durability index: 83