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Testing Report for 2013-07-12-7268215-1

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

Project Information

DEA: 024F1404
EFIS: 0212000118
Project ID: 10004
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-40.6/R46.7
Work Description: COLD IN-PLACE RECYCLE WITH HMA OVERLAY
Location Description: MODOC COUNTY NEAR ALTURAS FROM ROUTE 395 TO 0.4 MILE EAST OF COUNTY ROAD 58
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2013-07-12-7268215
TL Number from the TL Form:
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: 7/12/2013
Date that the sample was received by the laboratory/organization performing the testing: 6/26/2013
The quantity of what the sample constitutes: 1Bag
A brief description of the sample: ASPH
From where was the sample collected: Source
Laboratory sample identification: 13ASPH-0262 C847779
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Eagle Peak Rock and Paving

Material Information

Source Identification (SMARA or name of Pit): Hogsback Alturas 91-25-0029
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpiles
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2013-07-12-7268215-1
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 6/26/2013
Verified Date: 7/12/2013
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: 1.9 %