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Testing Report for 2021-04-23-22-2

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

Project Information

DEA: 021J4604
EFIS: 0220000081
Project ID: 215251
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-34.5/38.8,88.0/92.0
Work Description: HMA OVERLAY, REPLACE AC SURFACING, SHOULDER BACKING & TRAFFIC STRIPE.
Location Description: SISKIYOU COUNTY NEAR HAPPY CAMP FROM 0.1 MILE EAST OF OAK FLAT CREEK BRIDGE TO 0.1 MILE EAST OF BENJAMIN CREEK ROAD AND FROM 0.3 MILE WEST OF BEAVER CREEK BRIDGE TO 1.0 MILE WEST OF LUMGREY CREEK BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Austin Henry
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-23-22
TL Number from the TL Form: 858622
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 4/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/23/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Dust Sized Untreated Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78785C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shasta Ranch Aggregates - Anderson, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057
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: Sized Untreated Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number: JMF 21-05-S01
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-04-23-22-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Date Tested: 7/22/2021
Verified Date: 7/22/2021
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

Size of aggregate being tested: Fine Aggregate
What type of solution was used?: Sodium sulfate
What was the condition of the solution?: Freshly prepared
Number of immersion cycles performed: 5
Fine weighted average loss: 2 %