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Testing Report for 2013-07-24-14002336-3

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

Project Information

Project ID: 3804 DEA: 07120304 EFIS: 0700000107 COOP: ENV005 QA Service Level: 2
DIST-CO-RTE-PM: 07-LA-405-29.5-39.5
Work Description: Design-Build 405 HOV Sepulveda Pass Widening Project-Northbound HOV Widening on I-405 from I-10 to US 101
Location Description: On the west side of Los Angeles from I-10 to US 101
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: George (Dist. Sr. for project) Malacalza Structure Rep.: Francis, Mike

Sample Information

DIME Sample ID: 2013-07-24-14002336
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: 07/24/2013
Date that the sample was received by the laboratory/organization performing the testing: 07/26/2013
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: 3/4 Max Class 2 Aggregate Base
From where was the sample collected: Other
Laboratory sample identification: 3199B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Stockpile at NB Getty Yard.

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: Stockpile at NB Getty Yard.
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: 2013-07-24-14002336-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/20/2015
Date Tested: 08/13/2013
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:
Test Result Compliance: comply
Additional Comments When Verified :

Submitted Test Results

Coarse durability index 54
Fine durability index 39