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Testing Report for 2018-02-20-7-1

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

Project Information

DEA: 010H7604
EFIS: 0118000101
Project ID: 212852
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-33.0/42.0
Work Description: Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: MUNES NASH
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-02-20-7
TL Number from the TL Form: 978554
Sample Submitted By Organization: CT D01 - Field Laboratory
Sample Organization Contact: (707) 445-6373
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 2/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 2/21/2018
The quantity of what the sample constitutes: Yearly Production
A brief description of the sample: 0.5in HMA-A 15 RAP PG64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: 61894
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Ukiah

Material Information

Source Identification (SMARA or name of Pit): 91-23-0015::HARRIS QUARRY, 91-17-0035 Highway 175
The fabricator's/manufacturer's product name for the sample: 1060_1/2 HMA64-16R15LAS-SP
The fabricator/manufacturer designation for the sample: 1060_1/2 HMA64-16R15LAS-SP
The plant number: Unknown
A detailed description of where the material sample was collected: Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-02-20-7-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Date Tested: 3/16/2018
Verified Date: 3/16/2018
Submitted By Organization: CT D01 - Field Laboratory
Organization Address: 1726 Albee St,
Organization City: Eureka
Organization State: CA
Organization Zipcode: 95501
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 445-6373
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Method: 1 - Combined Fracture Determination
Aggregate Size and Fracture Type: Coarse 1 Faced
Percentage of fractured, coarse, 1 faced particles tested: 100 %