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Sample Record for 2021-06-07-31

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-07-31
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group - Rancho Cucamonga
Sample Organization Contact: (909) 989-1751
Type of Sample: Informational
Type of Material: Aggregate
Sample Taken Date: 06/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/07/2021
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: 3/4" RHMAG Agg Combined
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 RHMAG Agg Combined
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Belt Feed
Where the material sample would have been placed if not sampled: HMA Mix
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 106835
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-06-07-31-1
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Verified Date: 07/07/2021
Date Tested: 06/10/2021
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Basis for relative density testing Bulk SSD
Specific Gravity 2.702
Absorption 0.6 %

Test 2 of 2

DIME Test ID: 2021-06-07-31-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Verified Date: 07/07/2021
Date Tested: 06/10/2021
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk specific gravity 2.645
Bulk specific gravity (SSD Basis) 2.681
Apparent specific gravity 2.645
Absorption 1.4 %