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Testing Report for 2021-07-15-58-8

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

Project Information

EFIS: 0019000052
Project ID: 66666
QA Service Level:
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-15-58
TL Number from the TL Form:
Sample Submitted By Organization: Granite Construction - Santa Paula
Sample Organization Contact: (805) 331-2654
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 7/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/15/2021
The quantity of what the sample constitutes: 400 pounds
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Big Rock Aggregate Plant

Material Information

Source Identification (SMARA or name of Pit): 91-19-0046
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: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-07-15-58-8
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 8/18/2021
Verified Date: 9/13/2021
Submitted By Organization: Granite Construction - Santa Paula
Organization Address: 999 Mission Rock Rd.,
Organization City: Santa Paula
Organization State: CA
Organization Zipcode: 93060
Organization Email:
Organization Phone: (805) 331-2654
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 3
Sand equivalent after temperature correction: 90