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Testing Report for 2016-06-17-17-4

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

Project Information

DEA: 07288604
EFIS: 0700021080
Project ID: 208945
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.0-9.4
Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description: Port of Long Beach (District 7)
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer:
Structure Rep.:

Sample Information

DIME Sample ID: 2016-06-17-17
TL Number from the TL Form: C-16-107
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: 6/17/2016
Date that the sample was received by the laboratory/organization performing the testing: 5/17/2016
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: Three eighths inch PCC Aggregates
From where was the sample collected: Source
Laboratory sample identification: 6177B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Reliance

Material Information

Source Identification (SMARA or name of Pit): SMARA 91 19 0016
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpiles
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Information

DIME Test ID: 2016-06-17-17-4
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 6/17/2016
Verified Date: 10/15/2019
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: complies
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: 5.0 %