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Testing Report for 2021-04-01-37-7

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

Project Information

DEA: 030A5704
EFIS: 0300020593
Project ID: 214426
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-20-13.3/R18.2
Work Description: Browns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location Description: YUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Garrett Griffith
Structure Rep.: Matt Crete

Sample Information

DIME Sample ID: 2021-04-01-37
TL Number from the TL Form: C706329
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: 4/1/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/1/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4" (Nominal sized) Untreated Virgine Aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-020C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert - Hallwood Plant

Material Information

Source Identification (SMARA or name of Pit): 91-58-0006
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: 2021-04-01-37-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 4/20/2021
Verified Date: 6/9/2021
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: JMF21-020C. Report Only.
Test Result Compliance: not applicable
Additional Comments When Verified : JMF21-020C

Submitted Test Results

Basis for relative density testing: Bulk
Specific Gravity: 2.786
Absorption: 0.7 %