DIME - Test Summary

Summary for Test 2018-04-25-17-2

Test performed: AASHTO T104-99r16

Project Identifiers	Project ID: 212562 DEA: 024G5504 EFIS: 0214000036
DIST-CO-RTE-PM	02-SIS-5-2.7/R11.4
Award Date	03/12/2018
Closeout Date	10/05/2020
Work Description	RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location Description	SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level	1 (Verified on 04/04/2018)

Sample Taken Date	04/25/2018	Sample Unique Key	17
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 testing	05/29/2018
Sample type	Verification	A brief description of the sample	Untreated Aggregate
The quantity of what the sample constitutes	1 box 4 small bags in side	From where was the sample collected	Source
First name of sampler or witnessed by	Derrick	Last name of sampler or witnessed by	Curry
Title of sampler	Tech	Telephone number of sampler	Unknown
Laboratory sample identification	D77341	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jt Shea-Fawndale Plant	Transportation Laboratory (TL) Number	C001555
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-45-0017
The fabricator's/manufacturer's product name for the sample	Jt Shea	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Fawndale Plant
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set
HMA Pay	No

DIME Sample ID: 2018-04-25-17

DIME Test ID: 2018-04-25-17-2

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)

Test Release Date: 2018-07-06

Percentage of the total sample represented by each size

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

Input Type: Calculated

Tester's full name: Bang Nguyen

Date of test: 07/06/2018

Percentage of ⅜ inch x No. 4 material loss: no data

Percentage of No. 4 x 8 material loss: no data

Percentage of No. 8 x 16 material loss: no data

Percentage of No. 16 x 30 material loss: no data

Percentage of No. 30 x 50 material loss: no data

Fine weighted average loss: 4.5 %

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 7/6/2018 ✔