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Testing Report for 2013-10-30-10000814-4

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

Project Information

Project ID: 7757 DEA: 07252614 EFIS: 0700021271 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-C43.9/C46.4
Work Description: REPLACE CONCRETE SLABS WITH PRECAST CONCRETE PANELS.
Location Description: LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM SAN FERNANDO ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fred Tieu Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2013-10-30-10000814
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 10/30/2013
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2013
The quantity of what the sample constitutes: 8 Bags
A brief description of the sample: 3/4 Crushed PCC Aggregates
From where was the sample collected: Source
Laboratory sample identification: 3259
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Lytle Creek

Material Information

Source Identification (SMARA or name of Pit): SMARA No. 91-36-0040
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: 1 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2013-10-30-10000814-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/28/2014
Date Tested: 11/08/2013
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 :

Submitted Test Results

Percentage Loss of material retained on 2 x 1 ½ in. sieve no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve no data
Percentage Loss of material retained on 1 x ¾ in. sieve no data
Percentage Loss of material retained on ¾ x ½ in. sieve no data
Percentage Loss of material retained on ½ x ⅜ in. sieve no data
Percentage Loss of material retained on ⅜ in. x #4 sieve no data
Weighted Average Percent Loss of Coarse Aggregate 1.2 %