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Testing Report for 2014-01-14-2237-2

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

Project Information

DEA: 080N5904
EFIS: 0800000533
Project ID: 8127
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R85.2
Work Description: CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location Description: SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen
Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2014-01-14-2237
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC.
Sample Organization Contact: (619) 280-4321
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 1/14/2014
Date that the sample was received by the laboratory/organization performing the testing: 1/14/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Washed Concrete Aggregates
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: High Grade Oro Grande

Material Information

Source Identification (SMARA or name of Pit): washed concrete aggregate
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:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-01-14-2237-2
Test Method: ASTM C117-04: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Date Tested: 1/17/2014
Verified Date: 1/28/2014
Submitted By Organization: SCST, LLC.
Organization Address: 6280 Riverdale Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92120
Organization Email: dhicks@scst.com
Organization Phone: (619) 280-4321
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Percent finer than No. 200 sieve: 0.5 %