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Testing Report for 2021-04-28-28-2

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

Project Information

DEA: 031E0604
EFIS: 0312000068
Project ID: 212914
QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-70-15.5/16.5
Work Description: SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description: NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Manoharan Selvendran
Structure Rep.: Travis Christie

Sample Information

DIME Sample ID: 2021-04-28-28
TL Number from the TL Form: C741863
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: 4/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/28/2021
The quantity of what the sample constitutes: 3 Bags of Aggregate
A brief description of the sample: 3/4" (Nominal size) Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: JMF21-024
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:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: HMA Plant Cold Feed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-04-28-28-2
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 6/8/2021
Verified Date: 6/28/2021
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: JMF21-024.
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Grading designation: C
Percent loss after 100 revolutions: 5 %
Percent loss after 500 revolutions: 19 %