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Testing Report for 2020-04-15-43-6

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

Project Information

DEA: APP
EFIS: 0019000052
Project ID: 66666
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-15-43
TL Number from the TL Form: None
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 4/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/14/2020
The quantity of what the sample constitutes: 10 Bags
A brief description of the sample: 1.5" PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification: 2809
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Lehigh Hanson

Material Information

Source Identification (SMARA or name of Pit): 91-19-0025
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: From the source
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-04-15-43-6
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Date Tested: 12/16/2020
Verified Date: 1/25/2021
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: complies
Additional Comments When Verified :

Submitted Test Results

No reportable test results have been submitted for this test.