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Testing Report for 2014-11-12-11-1

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

Project Information

DEA: 042640K4
EFIS: 0412000406
Project ID: 7566
QA Service Level: 1
DIST-CO-RTE-PM: 04---
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Richard Duncan
Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2014-11-12-11
TL Number from the TL Form: C917831
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 11/12/2014
Date that the sample was received by the laboratory/organization performing the testing: 1/7/2015
The quantity of what the sample constitutes: Unknown
A brief description of the sample: three eighths pea gravel
From where was the sample collected: Source
Laboratory sample identification: 15CPCC-0020
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Healdsburg

Material Information

Source Identification (SMARA or name of Pit): 91-49-0062
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
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-11-12-11-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 1/7/2015
Verified Date: 1/29/2015
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

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data
Percentage Loss of material retained on 1 x ¾ in. sieve: no data
Percentage Loss of material retained on ¾ x ½ in. sieve: no data
Percentage Loss of material retained on ½ x ⅜ in. sieve: no data
Percentage Loss of material retained on ⅜ in. x #4 sieve: no data
Weighted Average Percent Loss of Coarse Aggregate: 3.2 %