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Testing Report for 2019-04-25-14-6

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

Project Information

DEA: 020E0904
EFIS: 0200000016
Project ID: 210808
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R29.3/R31.1,R45.0/R45.8
Work Description: REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location Description: IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nathan Alexander
Structure Rep.: Christopher S 'Chris' Brace

Sample Information

DIME Sample ID: 2019-04-25-14
TL Number from the TL Form: 001903
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: 4/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 4/25/2019
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D77853F
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: L190276
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 19-09-S1
Lot number: 0
Sublot number: 0

Test Information

DIME Test ID: 2019-04-25-14-6
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Date Tested: 5/15/2019
Verified Date: 6/21/2019
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

Size of aggregate being tested: Coarse and Fine Aggregate
What type of solution was used?: Sodium sulfate
What was the condition of the solution?: Previously used
Number of immersion cycles performed: 5
Coarse weighted average loss: 2 %
Fine weighted average loss: 5 %