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Testing Report for 2014-08-14-23-2

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

Project Information

Project ID: 7427 DEA: 07215934 EFIS: 0700001833 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-2.4/4.0
Work Description: Widen and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mashhur Ali Structure Rep.: Kim, Steven

Sample Information

DIME Sample ID: 2014-08-14-23
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: 08/14/2014
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Class 3 Aggregate Base
From where was the sample collected: Other
Laboratory sample identification: 4233B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: I 5 Mainline at Sta 168 50

Material Information

Source Identification (SMARA or name of Pit): Unknown
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: I 5 Mainline at Sta 168 50
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-08-14-23-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/20/2015
Date Tested: 08/15/2014
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

Number of tests 1
Sand equivalent after temperature correction 67