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Testing Report for 2018-05-27-1-7

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

Project Information

DEA: 010G6804
EFIS: 0117000045
Project ID: 213058
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-253-0.0-17.6 / 30-28.4 / 23.3-19.8
Work Description: COLD PLANE, PLACE HMA AND MICROSURFACING
Location Description: MENDOCINO COUNTY NEAR BOONVILLE FROM 0.5 MILE WEST OF ANDERSON CREEK BRIDGE TO ROUTE 253/101 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Arjun Subedi
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-05-27-1
TL Number from the TL Form: 978561
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: 5/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/30/2018
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4 Cold feed
From where was the sample collected: Manufacturer
Laboratory sample identification: 61953
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
The fabricator's/manufacturer's product name for the sample: 1417
The fabricator/manufacturer designation for the sample: Unknown
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: 3/4 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-05-27-1-7
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 7/24/2018
Verified Date: 7/24/2018
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:
Additional Comments When Verified :

Submitted Test Results

Basis for relative density testing: Bulk
Specific Gravity: 2.867
Absorption: 0.9 %