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Testing Report for 2020-10-28-13-5

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

Project Information

DEA: 034H6904
EFIS: 0319000026
Project ID: 213568
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12-
Work Description: Major Damage Restoration (Emergency Opening)
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Masoud Saed
Structure Rep.: Dung Tran

Sample Information

DIME Sample ID: 2020-10-28-13
TL Number from the TL Form: na
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2020
The quantity of what the sample constitutes: 3-5 gallon bucket
A brief description of the sample: Hydrolite-Trinity Lightweight
From where was the sample collected: Job Site
Laboratory sample identification: 20-PCCC-0217
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: na

Material Information

Source Identification (SMARA or name of Pit): na
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: at job site
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-10-28-13-5
Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)
Date Tested: 11/17/2020
Verified Date: 12/7/2020
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: Fine Aggregate
What type of solution was used?: Sodium sulfate
What was the condition of the solution?: Previously used
Number of immersion cycles performed: 5
Fine weighted average loss: 0.8 %