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Testing Report for 2013-04-30-8407621-1

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

Project Information

DEA: 06442624
EFIS: 0600000972
Project ID: 7446
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE,MAD-99-26.7/R31.6,R0.0/R1.6
Work Description: FREEWAY TO BE WIDENED AND REPLACE BRIDGE.
Location Description: FRESNO AND MADERA COUNTIES IN AND NEAR FRESNO FROM 0.2 MILES NORTH OF ASHLAN AVENUE OVERCROSSING TO 0.6 MILE NORTH OF AVENUE 7 OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Alan Vong
Structure Rep.: Mano Mirzai

Sample Information

DIME Sample ID: 2013-04-30-8407621
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 4/30/2013
Date that the sample was received by the laboratory/organization performing the testing: 4/16/2013
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: 1x4
From where was the sample collected: Source
Laboratory sample identification: C787042A 13CPCC-0186
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calaverras

Material Information

Source Identification (SMARA or name of Pit): Merced River Rock
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:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2013-04-30-8407621-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 4/30/2013
Verified Date: 5/1/2013
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
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: 3.1 %