Print Report | Back to Test Summary

Testing Report for 2016-07-22-15-3

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

Project Information

Project ID: 210829 DEA: 07302904 EFIS: 0713000478 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-C43.9/C46.4
Work Description: REPLACE CONCRETE SLABS/PAVEMENT.
Location Description: IN LA, RT 5 TRUCK LANES CNTY LN ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Abdul Al Jamal Structure Rep.: Ambaye, Addis

Sample Information

DIME Sample ID: 2016-07-22-15
TL Number from the TL Form: C 923506
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: 07/22/2016
Date that the sample was received by the laboratory/organization performing the testing: 08/01/2016
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Three quarter inch Max Class Three Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 6301B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

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: Roadway
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:

Test Information

DIME Test ID: 2016-07-22-15-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 07/08/2019
Date Tested: 08/08/2016
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

Coarse durability index 55
Fine durability index 41