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Testing Report for 2017-05-17-15-6

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

Project Information

DEA: 023H1204
EFIS:
Project ID: 212886
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R0.0/R22.4
Work Description: COLD PLANE RAC-O, PLACE RHMA-O, REPLACE AC SURFACING, MBGR
Location Description: TEHAMA COUNTY AT AND NEAR CORNING FROM GLENN COUNTY LINE TO 0.3 MILE NORTH OF BRANCH COYOTE CREEK BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Henry Benner
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-17-15
TL Number from the TL Form: 851339
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 5/17/2017
Date that the sample was received by the laboratory/organization performing the testing: 5/5/2017
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Laboratory-Combined Untreated Virgin 3/4-inch Type A Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: D76918F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis, Inc - Northstate Asphalt - Redding, CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sample: Combined Virgin Aggregate
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpile at the Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 17-04-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2017-05-17-15-6
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 5/5/2017
Verified Date: 7/13/2018
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Grading designation: B
Percent loss after 100 revolutions: 3 %
Percent loss after 500 revolutions: 12 %