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Testing Report for 2017-05-05-17-3

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

Project Information

DEA: No Project
EFIS:
Project ID: 0
QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-05-17
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: 5/5/2017
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: Sized, Untreated, Virgin Aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification: D76918
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shasta Ranch Aggregates

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: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Lab-Batched from Sized Untreated Aggregate Stockpiles
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 17-04-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2017-05-05-17-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 5/24/2017
Verified Date: 9/27/2018
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:
Additional Comments When Verified :

Submitted Test Results

Basis for relative density testing: Bulk
Specific Gravity: 2.655
Absorption: 1.4 %