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Testing Report for 2019-04-17-54-1

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-17-54
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/4" HMA - A
From where was the sample collected: Source
Laboratory sample identification: 19-JMF-0118 replace with 19-JMF-0129
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company Vernalis

Material Information

Source Identification (SMARA or name of Pit): 91-39-0002::VERNALIS
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-04-17-54-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Verified Date: 08/30/2019
Date Tested: 08/19/2019
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 Faced
Weighted average percentage of fractured, coarse, 1 faced particles 91 %