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Sample Record for 2020-07-20-11

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Project Information

Project ID: 214695 DEA: 120R8604 EFIS: 1219000048 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-28.3/31.8
Work Description: COLD PLANE AC PVMT AND PLACE RHMA.
Location Description: ORANGE COUNTY IN TUSTIN AND SANTA ANA FROM TUSTIN RANCH ROAD UNDERCROSSING TO GRAND AVENUE UNDERCROSSING
Contractor Name: Jazzar Construction Group, Inc.
Contractor Address: 192 Technology Drive Suite M, Irvine California 92618
Resident Engineer: Mohamad Yacoub Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-07-20-11
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: 07/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/28/2020
The quantity of what the sample constitutes: 3 Bags Coldfeed aggregate
A brief description of the sample: PSUE 1/2" RWMA-G-SP 0.25% Evo
From where was the sample collected: Manufacturer
Laboratory sample identification: 0464G-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R J Noble Orange

Material Information

Source Identification (SMARA or name of Pit): 91-33-0014/ 91-33-0035
The fabricator's/manufacturer's product name for the sample: 1/2 RWMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 50R003ARSPWEO
A detailed description of where the material sample was collected: Belt Cut at RJ Noble Orange Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test Information 7 of 8

DIME Test ID: 2020-07-20-11-7
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Verified Date: 08/03/2020
Date Tested: 07/31/2020
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Additional Comments When Verified:
Method B
Determination By Mass
Dimensional ratio used 5:1
Weighted percentage of particles (by mass) that were flat and elongated 4 %
Weighted percentage of particles (by mass) that were not flat and elongated 96 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.