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Testing Report for 2020-03-20-18-3

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

Project Information

Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R3.8/R11.7
Work Description: WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location Description: SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Henry Benner Structure Rep.: Eric Chaffee

Sample Information

DIME Sample ID: 2020-03-20-18
TL Number from the TL Form: 897552
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 03/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/23/2020
The quantity of what the sample constitutes: 50000 ton
A brief description of the sample: 3/4-inch Type A Aggregate (Untreated, Virgin)
From where was the sample collected: Source
Laboratory sample identification: D78364F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fawndale Rock Quarry

Material Information

Source Identification (SMARA or name of Pit): 91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sample: 19-1001.314
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 19-01-XXX1
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-03-20-18-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 04/21/2020
Date Tested: 03/25/2020
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

Grading designation B
Mass of sample on No.12 sieve (after 500 revolutions) 4282 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 14 %