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Testing Report for 2013-08-08-9102342-4

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

Project Information

DEA: 080N9104
EFIS: 0800001013
Project ID: 8128
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-62-R0.4/R1.1
Work Description: INSTALL TRAFFIC SIGNAL AND REALIGN TWO LEFT TURN LANES.
Location Description: RIVERSIDE COUNTY NEAR DESERT HOT SPRINGS FROM 1.1 MILE NORTH TO 0.8 MILE SOUTH OF DILLON ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Issa Taha
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2013-08-08-9102342
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 8/8/2013
Date that the sample was received by the laboratory/organization performing the testing: 8/9/2013
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample:
From where was the sample collected: Source
Laboratory sample identification: 3225B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland Company/Thousand Palms

Material Information

Source Identification (SMARA or name of Pit): 91-33-0093
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 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2013-08-08-9102342-4
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 9/13/2013
Verified Date: 2/28/2014
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: comply
Additional Comments When Verified :

Submitted Test Results

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data
Percentage Loss of material retained on 1 x ¾ in. sieve: no data
Percentage Loss of material retained on ¾ x ½ in. sieve: no data
Percentage Loss of material retained on ½ x ⅜ in. sieve: no data
Percentage Loss of material retained on ⅜ in. x #4 sieve: no data
Weighted Average Percent Loss of Coarse Aggregate: 2.1 %