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Testing Report for 2016-12-01-10-3

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

Project Information

DEA: 04235624
EFIS: 0400000678
Project ID: 209187
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-101-52.0/52.6,0.0/0.6
Work Description: BRIDGE REPLACEMENT
Location Description: SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fernando Abela
Structure Rep.: Yannaing Tun

Sample Information

DIME Sample ID: 2016-12-01-10
TL Number from the TL Form: Unknown
Sample Submitted By Organization: Twining Inc. - Sacramento
Sample Organization Contact: 916-649-9000
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 12/1/2016
Date that the sample was received by the laboratory/organization performing the testing: 12/1/2016
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: 1x4 / WCS
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan

Material Information

Source Identification (SMARA or name of Pit): 91-01-0010
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: Unknown
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Information

DIME Test ID: 2016-12-01-10-3
Test Method: CTM 217-November 2014: Method of Test for Sand Equivalent
Date Tested: 12/2/2016
Verified Date: 2/23/2018
Submitted By Organization: Twining Inc. - Sacramento
Organization Address: 1572 Santa Ana Avenue,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95838
Organization Email: tcarter@twininginc.com
Organization Phone: 916-649-9000
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sand Equivalent: 86