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Testing Report for 2021-06-01-20-1

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

Project Information

DEA: JMFPP
EFIS: 0019000043
Project ID: 66667
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-01-20
TL Number from the TL Form:
Sample Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Sample Organization Contact: 5597930903
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 6/1/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/1/2021
The quantity of what the sample constitutes: 6 bags
A brief description of the sample: Rock dust
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Asphalt

Material Information

Source Identification (SMARA or name of Pit): 91-54-0021
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: at the plant from the stockpile
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: 2021-06-01-20-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Date Tested: 6/1/2021
Verified Date: 6/11/2021
Submitted By Organization: Jaxon Enterprises - Deer Creek Rock & Asphalt
Organization Address: 27671 Ave 120,
Organization City: Porterville
Organization State: CA
Organization Zipcode: 93257
Organization Email: ahasegawa@jaxonaggregates.com
Organization Phone: 5597930903
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

What type of gradation is being tested?: Fine Aggregate
Does this test use 1/4 sieve? (question for HMA Gradation Type): No
Cumulative percent passing the 3/8 in. sieve: 100 %
Cumulative percent passing the #4 sieve: 100 %
Cumulative percent passing the #8 sieve: 72 %
Cumulative percent passing the #16 sieve: 45 %
Cumulative percent passing the #30 sieve: 29 %
Cumulative percent passing the #50 sieve: 20 %
Cumulative percent passing the #100 sieve: 15 %
Cumulative percent passing the #200 sieve: 12.4 %