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D. ATTACHMENTS: lncludcthc following x�ith this Mix Dcsign Rclx)rt. <br /> Portland Cement mill test reports <br /> Fly ash mill test reports where required <br /> Slag mill test reports <br /> ❑� Designation,type,quality,and source(natural or manufactured)ofcoarse and fine aggregate materia s <br /> [� Separate aggregate gradation reports including all required sieve sizes <br /> • Al I gradation sieve report tests dated within 60 days of this report <br /> • Report for each coarse and fine aggregate material in mix <br /> ❑ Statement if possible reactivity of aggregate,based on tests or past service <br /> ❑ Statement if possible aggregate pop-outs or their disruptions,based on tests or past service <br /> Product data for the following admixtures: <br /> • Chloride ion data and related calculations <br /> • Water reducing,set retarding,set accelerating,etc. <br /> []� Measured water-soluble chloride ion content in concrete(percent by weight of cement) <br /> Concrete compressive strength data used for standard deviation calculations <br /> E. CONCRETE SUPPLIER INFORMATION <br /> Company Name Tel.# ( ) <br /> Address <br /> City,ST Zip <br /> Technical Contact Cell# ( ) <br /> e-mail <br /> Sales Contact Cell # I ) <br /> PRIMARY PLANT SECONDARY PLANT <br /> Plant Location: <br /> Miles from Site: <br /> Travel Time to Site: <br /> NRMCA Certified: ❑YES ❑ NO ❑ YES ❑ NO <br /> State DOT Certified: ❑ YES ❑ NO ❑ YES ❑ NO <br /> Batch Mixing Type. ❑ DRY ❑CENTRAL MIX ❑ DRY ❑CENTRAL MI <br /> 03310-29 <br /> 2101 -248 -Kennewick,Washington-21794022 November 3,20 12 <br />