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Sample Record for 2017-12-22-10

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-12-22-10
TL Number from the TL Form: Antistrip TL Number
Sample Submitted By Organization: CT HQ - QAM Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7266
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 12/22/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2017
The quantity of what the sample constitutes: Unknown Quantity
A brief description of the sample: Antistrip Sample
From where was the sample collected: Source
Laboratory sample identification: Antistrip Sample ID
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LHoist North America

Material Information

Antistrip Type: Lime - hydrated lime
Antistrip Additive Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-12-22-10-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/22/2017
Date Tested: 12/22/2017
Submitted By Organization: CT HQ - QAM Sacramento Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 100 %
Cumulative percent passing the 1/2 in. sieve 100 %
Cumulative percent passing the 3/8 in. sieve 100 %
Cumulative percent passing the 1/4 in. sieve 100 %
Cumulative percent passing the #4 sieve 100 %
Cumulative percent passing the #8 sieve 100 %
Cumulative percent passing the #16 sieve 100 %
Cumulative percent passing the #30 sieve 99.8 %
Cumulative percent passing the #50 sieve 99.8 %
Cumulative percent passing the #100 sieve 99.8 %
Cumulative percent passing the #200 sieve 86.8 %