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Testing Report for 2018-08-28-5-7

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

Project Information

DEA: 024F77U4
EFIS: 0217000022
Project ID: 213134
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-23.1/23.6, 24.5/33.5
Work Description: BRIDGE REPLACE, ROADWAY REHAB/FULL DEPTH RECLAMATION-CEMENT + HMA
Location Description: MODOC COUNTY ABOUT 6 MILES WEST OF ALTURAS FROM 0.3 MILE WEST TO 0.3 MILE EAST OF CALDWELL CREEK BRIDGE AND 1.1 MILES EAST OF CALDWELL CREEK BRIDGE TO 1.7 MILES WEST OF COUNTY ROAD 75
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Zdenek
Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2018-08-28-5
TL Number from the TL Form: Unknown
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: 8/28/2018
Date that the sample was received by the laboratory/organization performing the testing: 8/28/2018
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Sized Virgin Aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification: D77624
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008::SHAW PIT
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: Laboratory Batched
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF 18-18-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-08-28-5-7
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Date Tested: 9/11/2018
Verified Date: 9/20/2018
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

Which test procedure(s) is/are used?: Procedure A and Procedure B
Was strict temperature control maintained?: Yes
What type of water was used?: Distilled
Durability Index (coarse): 70
Durability Index (fine): 66