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Testing Report for 2020-12-02-3-5

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

Project Information

Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-37.2/42.4
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Rodolfo Cao Structure Rep.: David Win

Sample Information

DIME Sample ID: 2020-12-02-3
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: 12/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2020
The quantity of what the sample constitutes: 3 Bags Coldfeed Agg., 2 Bags Rap
A brief description of the sample: PSUE 3/4" HMA-A-SP R15 No LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0682A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 105973
A detailed description of where the material sample was collected: Belt Cut at All American Irwindale 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: 2020-12-02-3-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 12/29/2020
Date Tested: 12/04/2020
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 B
Mass of sample on No.12 sieve (after 500 revolutions) 4277 grams
Percent loss after 100 revolutions 3 %
Percent loss after 500 revolutions 14 %