Test 2021-09-02-20-2 (CTM 217-June 2011) Summary

Project Information
Project IdentifiersProject ID: 212496
DEA: 024E4504
EFIS: 0200020286
DIST-CO-RTE-PM02-LAS,MOD-139,299-VAR
Work DescriptionPLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS.
Location DescriptionLASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87
Sample Information
Sample Taken Date9/2/2021 Sample Unique Key20
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing9/4/2021
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutes3000 tons or Day's Placement From where was the sample collectedManufacturer
First name of sampler or witnessed byE. Last name of sampler or witnessed byChavez
Title of samplerMaterials Tester Laboratory sample identificationD78938
The fabricator/manufacturer/facility nameHat Creek Construction and Materials - Shaw Pit Facility - Lookout, CA Transportation Laboratory (TL) Number848963
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-25-0008
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 collectedStockpile at the Plant
Where the material sample would have been placed if not sampled02 LAS MOD 139 299 VAR Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2021-09-02-20
DIME Test ID: 2021-09-02-20-2
Testing Lab: CT D02 - North Region Materials Lab
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Test Release Date: 2021-09-09
Test Results

Number of tests: 3
Input Type: Measured
Tester's full name: Terry McCormick
Date of test: 09/06/2021
Temperature correction: 0
Temperature of solution: 20.5
Clay reading (test 1): 10.5
Sand reading (test 1): 2.6
Clay reading (test 2): 10.3
Sand reading (test 2): 2.5
Clay reading (test 3): 10.3
Sand reading (test 3): 2.5
Sand equivalent (test 1): 25
Sand equivalent (test 2): 25
Sand equivalent (test 3): 25
Sand equivalent before temperature correction: 25
Sand equivalent after temperature correction:25
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Test was verified on 09/09/2021