Print Report | Back to Test Summary

Testing Report for 2013-12-19-7583960-3

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

Project Information

Project ID: 208869 DEA: 08368504 EFIS: 0800000628 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-177.3/181.1
Work Description: CONSTRUCT COMMERCIAL VEHICLE ENFORCEMENT FACILITY (CVEF)
Location Description: SAN BERNARDINO COUNTY FROM 1.2 MILES NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: John Santos Structure Rep.: Monsalud, Lawrence

Sample Information

DIME Sample ID: 2013-12-19-7583960
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 12/19/2013
Date that the sample was received by the laboratory/organization performing the testing: 12/30/2013
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Class 2 Aggregate Base
From where was the sample collected: Other
Laboratory sample identification: 3361B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: I-15 SB Shoulder Sta. 9387 40

Material Information

Source Identification (SMARA or name of Pit): Unknown
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: I-15 SB Shoulder Sta. 9387 40
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2013-12-19-7583960-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/20/2015
Date Tested: 01/02/2014
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

Coarse durability index 73
Fine durability index 76