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Testing Report for 2020-05-21-32-2

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

Project Information

DEA: 020J1304
EFIS: 0219000064
Project ID: 214725
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-139-43.0/53.0
Work Description: COLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A).
Location Description: LASSEN COUNTY ABOUT 42 MILES NORTH OF SUSANVILLE FROM 3.8 MILES NORTH OF SLATE CREEK TO 4.7 MILES SOUTH OF WILLOW CREEK RANCH ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer:
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-21-32
TL Number from the TL Form: 733194
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: 5/21/2020
Date that the sample was received by the laboratory/organization performing the testing: 5/22/2020
The quantity of what the sample constitutes: JMF Verification Renewal
A brief description of the sample: 3/8-inch Untreated Sized Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78440B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Shaw Pit

Material Information

Source Identification (SMARA or name of Pit): 91-25-0008
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: Untreated Sized Aggregate Stockpile
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-R1
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-05-21-32-2
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Date Tested: 8/5/2020
Verified Date: 8/5/2020
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

Size of aggregate being tested: Coarse 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: 4.8 %