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Sample Record for 2020-06-03-3

Project Information

Project ID: 214131 DEA: 080N69U4 EFIS: 0812000307 COOP: 081635 QA Service Level: 2
DIST-CO-RTE-PM: 08-RIV-60-22.1/22.6
Work Description: Improving Operation efficiency and traffic flow in the SR-60 Truck Corridor in Moreno Valley. Widening inside and outside shoulders in 6 stages.
Location Description: R-60 Truck Climbing Lane . Construction of new east and west bound truck lanes from Gilman Springs road to 1.37 miles west if Jack Rabbit trail. Existing shoulders will be widened to standard 10 ft inside and 12 ft outside respectively.
Contractor Name: Skanska Civil USA Contractor Address: 1995 Agua Mansa Road
Resident Engineer: Skeith Jonathan Structure Rep.: Strancer, Sylivia

Sample Information

DIME Sample ID: 2020-06-03-3
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 06/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2020
The quantity of what the sample constitutes: JMF 4 Bags
A brief description of the sample: 3/4 RHMA-G-SP Aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification: 0318G-20
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005::ALL AMERICAN ASPHALT
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample: Unknown
The plant number: 106835
A detailed description of where the material sample was collected: Belt Cut at All American Perris Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Results

Test Information 5 of 8

DIME Test ID: 2020-06-03-3-5
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Verified Date: 06/17/2020
Date Tested: 06/15/2020
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St
Test General Comments:
Additional Comments When Verified:
Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 3867 grams
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 23 %