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Testing Report for 2020-06-10-42-6

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

Project Information

DEA: 024E46U4
EFIS: 0216000122
Project ID: 214685
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-36-6.0/14.6
Work Description: REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location Description: LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tim Crosby
Structure Rep.: Jeff Rothgery

Sample Information

DIME Sample ID: 2020-06-10-42
TL Number from the TL Form: 896983
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: 6/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 6/11/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4-inch Type A Untreated Virgin Aggregate
From where was the sample collected: Source
Laboratory sample identification: D78468F
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Pit

Material Information

Source Identification (SMARA or name of Pit): 91-18-0008
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: Lab-Batched from Sized Untreated Aggregate Stockpiles
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: JMF 20-08-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-06-10-42-6
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 9/4/2020
Verified Date: 9/10/2020
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: complies
Additional Comments When Verified :

Submitted Test Results

Grading designation: C
Mass of sample on No.12 sieve (after 500 revolutions): 4175 grams
Percent loss after 100 revolutions: 3 %
Percent loss after 500 revolutions: 16 %