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Testing Report for 2019-04-29-20-8

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

Project Information

DEA: 024H2004
EFIS: 0218000094
Project ID: 213720
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-89-26.3/29.2
Work Description: PAVEMENT OVERLAY
Location Description: SHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: TOFAEL ANWAR
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-29-20
TL Number from the TL Form: 827788
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: 4/29/2019
Date that the sample was received by the laboratory/organization performing the testing: 4/30/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Untreated Virgin 1/2-inch Type A Aggregate
From where was the sample collected: Source
Laboratory sample identification: D77860F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw Pit

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: 19-1278.105B
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: 1/2 inch
The concrete mix design number: JMF 19-05-S2
Lot number: 0
Sublot number: 0

Test Information

DIME Test ID: 2019-04-29-20-8
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Date Tested: 6/5/2019
Verified Date: 6/6/2019
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): 71
Durability Index (fine): 65