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Testing Report for 2021-03-31-11-4

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

Project Information

Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-29.4/31.6
Work Description: REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description: LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Vladimir Gurfinkel Structure Rep.: Choi, Gon

Sample Information

DIME Sample ID: 2021-03-31-11
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: 03/31/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/08/2021
The quantity of what the sample constitutes: 4 Bags of Coldfeed, 2 Bags of RAP
A brief description of the sample: PSUE JMF 3/4" HMA-A R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0201A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0035
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 220805A IRW VLO
A detailed description of where the material sample was collected: Belt Cut at Vulcan Irwindale 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:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-03-31-11-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 04/15/2021
Date Tested: 04/12/2021
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: Combined Virgin Aggregate Gradation
Additional Comments When Verified :

Submitted Test Results

% Absorption 1.4 %
Specific Gravity 2.71