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Testing Report for 2021-08-16-41-1

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

Project Information

DEA: 11056374
EFIS: 1117000087
Project ID: 215257
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11-0.6/2.7
Work Description: CONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING.
Location Description: SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Victor Cardenas
Structure Rep.: Wade Durant

Sample Information

DIME Sample ID: 2021-08-16-41
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultant
Sample Organization Contact: 1 (714) 974-6316
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 8/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/16/2021
The quantity of what the sample constitutes: 30 CY
A brief description of the sample: Concrete Aggregate
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: DS 10 Box culvert - 60 walls and rood
The fabricator/manufacturer/facility name: Robertsons Otay Plant

Material Information

Source Identification (SMARA or name of Pit): 91-37-0020
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: conveyor belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: RRM 21063
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-08-16-41-1
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 8/16/2021
Verified Date: 9/15/2021
Submitted By Organization: Sequoia Consultant
Organization Address: 361 W Grove Ave,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 2
Sand equivalent after temperature correction: 87