ITD-802 2-95 W Sheet ____ of ____

REPORT OF TESTS ON AGGREGATE

Lab. No. ______

Sample of ______Job Order No. ______

Key No. ______Project No. ______Source No. ______

Ident. No. ______Contract Item No. ______

Date Sampled ______By ______For ______

Test Hole No. ______Depth ______County ______

Sampled From ______Quantity Represented ______

Location ______

Placement of Materials ______

Test For ______

______Date Received ______

TEST RESULTS / RESISTANCE VALUE
GRADATION - PERCENT PASSING / DRY WT./C.F., COMP., MAX.
COLUMN NO. / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / DEGRADATION / SPECS.
ETHYLENE GLYCOL--IDAHO T-116
PERCENT RETAINED
Orig. / Fin.
3 IN. / SP. GR. / +4 / -4 / AVE.
2 IN. / BULK
1 1/2 IN. / APPARENT
1 IN. / ABSORPTION
3/4 IN.
1/2 IN. / LOS ANGELES ABRASION
3/8 IN. / GRADING / " "
NO. 4 / 500 REV. / %
NO. 8
NO. 10 / CRUSHED PARTICLES RETAINED
NO. 16 / 90/% One Face +NO.4 / %
NO. 30 / 60% Two Faces +NO.4 / %
NO. 40
NO. 50 / WT./C.F. LOOSE / LB.
NO. 100
CLEANNESS VALUE
NO. 200
DESCRIPTION OF MATERIAL
SAND EQUIV.
LIQUID LIMIT
PLAS. INDEX
COMPATIBILITY FOR SLURRY SEAL Yes No
COMPATIBILITY FOR MICRO SEAL Yes No / FOR FURTHER TESTS, SEE LAB. NOS.
AGGREGATE RECOMMENDATIONS ______
______
______
______
RECOMMENDATIONS FOR MIX DESIGN: SHEET ______OF ______

MATERIALS AS REPRESENTED IS: ACCEPTABLE SUBJECT TO REJECTION FOR INFORMATION ONLY

DATE MAILED ______, P.E.

MATERIALS ENGINEER