Print Report | Back to Test Summary

Testing Report for 2020-11-12-24-7

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

Project Information

DEA: 120N4904
EFIS: 1214000050
Project ID: 214228
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: 12/9/2020
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: 2020-11-12-24-7
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Date Tested: 12/12/2020
Verified Date: 12/30/2020
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:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method: B
Determination: By Mass
Dimensional ratio used: 5:1
Weighted percentage of particles (by mass) that were flat and elongated: no data
Weighted percentage of particles (by mass) that were not flat and elongated: 100 %