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Testing Report for 2014-05-21-6307587-5

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

Project Information

Project ID: 4085 DEA: 07286904 EFIS: 0700020897 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60-11.6/R23.6
Work Description: REPLACE PCC SLABS & ELECTRICAL LOOPS AND GRIND PAVEMENT.
Location Description: LOS ANGELES COUNTY IN CITY OF INDUSTRY AND DIAMOND BAR FROM ROUTE 60/605 SEPARATION TO S57/60 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joe Doughly Structure Rep.: yeo, jonathan

Sample Information

DIME Sample ID: 2014-05-21-6307587
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: 05/21/2014
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2014
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: 3/8 inch Rock
From where was the sample collected: Source
Laboratory sample identification: 4147B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Durbin

Material Information

Source Identification (SMARA or name of Pit): SMARA 91-19-0023
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: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-05-21-6307587-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/20/2015
Date Tested: 06/12/2014
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

Cleanness value (11/2 in. maximum aggregate mix) 89