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Testing Report for 2020-11-12-24-5

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

Project Information

Project ID: 214228 DEA: 120N4904 EFIS: 1214000050 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R12.5/R13.9
Work Description: VEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 1.0 MILE EAST OF ROUTE 91/90 SEPARATION TO 0.5 MILE WEST OF WEIR CANYON ROAD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Dat Pham Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2020-11-12-24
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: 11/12/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2020
The quantity of what the sample constitutes: 4 Bags Combined Agg.,
A brief description of the sample: JMF 3/4" RWMA-G-SP,0.40% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0688G-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Corona

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 RWMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 108835
A detailed description of where the material sample was collected: Belt Cut at All American Corona 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: 2020-11-12-24-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/30/2020
Date Tested: 12/09/2020
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
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Grading designation C
Mass of sample on No.12 sieve (after 500 revolutions) 3871 grams
Percent loss after 100 revolutions 5 %
Percent loss after 500 revolutions 23 %