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Testing Report for 2018-08-16-7-5

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

Project Information

DEA: 010H3704
EFIS: 0117000165
Project ID: 213297
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-20-33.6/37.1,45.2/46.5
Work Description: RUBBERIZED HOT MIX ASPHALT - GAP GRADED AND MIDWEST GUARDRAIL SYSTEM
Location Description: LAKE COUNTY NEAR CLEARLAKE OAKS FROM 0.6 MILE EAST OF NEW LONG VALLEY ROAD TO NORTH FORK CACHE CREEK BRIDGE AND FROM 1.4 MILES EAST OF ABBOT MINE ROAD TO COLUSA COUNTY LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Dan Kraft
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-08-16-7
TL Number from the TL Form: Unknown
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: 8/16/2018
Date that the sample was received by the laboratory/organization performing the testing: 8/18/2018
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: JMF 1/2 Cold feed
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite HWY 175

Material Information

Source Identification (SMARA or name of Pit): 91-17-0035::KEITHLY RANCH / HIGHWAY 175 QUARRY
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: 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: 2018-08-16-7-5
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 8/29/2018
Verified Date: 8/29/2018
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

Basis for relative density testing: Bulk
Specific Gravity: 2.758
Absorption: 1.6 %