Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215425 DEA: 06360244 EFIS: 0613000005
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2023-09-21-102
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 341-4165
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/21/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/21/2023
The quantity of what the sample constitutes: 988 Ton
A brief description of the sample: 3/4" HMA -A RAP-15
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name: 06-Tul 99 J St Bridge
The fabricator/manufacturer/facility name: Porterville Rock PAI
Source Identification (SMARA, name of Pit or Job Site): 0613000005
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: Conveyer Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 4
Sublot number: 1
Aggregate Mix Number:
DIME Test ID: 2023-09-21-102-1
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Verified Date: 10/30/2023
Date Tested: 09/21/2023
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Which test procedure(s) is/are used?
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Procedure A and Procedure B
|
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Was strict temperature control maintained?
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No
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What type of water was used?
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Tap
|
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Durability Index (coarse)
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87
|
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Durability Index (fine)
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60
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DIME Test ID: 2023-09-21-102-2
Test Method: AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
Data has not been verified.
