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Testing Report for 2021-08-03-26-5

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

Project Information

EFIS: 0019000043
Project ID: 66667
QA Service Level:
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: 2021-08-03-26
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 8/3/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/11/2021
The quantity of what the sample constitutes: _
A brief description of the sample: 1/2" HMA PG64-16 (Batch Plant)
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-JMF-0152
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Grantline

Material Information

Source Identification (SMARA or name of Pit): 91-34-0047
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: Each Bin
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: 2021-08-03-26-5
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Date Tested: 8/17/2021
Verified Date: 8/20/2021
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:
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

What test method is performed?: Method A
Bulk dry specific gravity: 2.634
Average uncompacted voids: 46.5 %