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Testing Report for 2021-01-25-7-2

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-01-25-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 01/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/26/2021
The quantity of what the sample constitutes: 9 bags
A brief description of the sample: Batch Plant - 4 bins - 2 bags each (3/4, 1/2, 3/8, and 1/4) plus 1 bag mineral filler
From where was the sample collected: Supplier
Laboratory sample identification: 21-JFMPP-0007
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Industries

Material Information

Source Identification (SMARA or name of Pit): 91-48-0002
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: Hot Bins
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-01-25-7-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 02/05/2021
Date Tested: 02/02/2021
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: Combined Virgin Aggregate Gradation
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method 2 - Individual Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Weighted average percentage of fractured, coarse, 2 faced particles 100 %
Weighted average percentage of fractured, coarse, 1 faced particles 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %