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Testing Report for 2021-05-14-32-2

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

Project Information

DEA: 021J5204
EFIS: 0220000087
Project ID: 215441
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD,SIS-139-34.0/50.7,0.0/5.0
Work Description: PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING.
Location Description: MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Austin Henry
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-14-32
TL Number from the TL Form: 897293
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 5/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/17/2021
The quantity of what the sample constitutes: Half-Day to Whole Project
A brief description of the sample: 3/8″ Chips for Use in ARB Chip Seal
From where was the sample collected: Source
Laboratory sample identification: D78797
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction and Materials - Shaw Pit - Lookout, CA

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008
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: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-05-14-32-2
Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine
Date Tested: 5/19/2021
Verified Date: 7/22/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Grading: C
Percent wear (100 Rev Test): 4 %
Percent wear (500 Rev Test): 13 %