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Testing Report for 2021-02-03-23-2

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

Project Information

Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Elvira Lenart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-02-03-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 02/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/03/2021
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: HMA-A 3/4" R24
From where was the sample collected: Manufacturer
Laboratory sample identification: 1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Coachella

Material Information

Source Identification (SMARA or name of Pit): 91-33-0084
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: belt an chute
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 43417615
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-02-03-23-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/11/2021
Date Tested: 02/04/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Additional Comments When Verified :

Submitted Test Results

Sand Equivalent 81