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Testing Report for 2021-03-19-12-4

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

Project Information

DEA: 120R7804
EFIS: 1219000038
Project ID: 214596
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1-9.48
Work Description: Modify Existing Electrical System
Location Description: ORANGE COUNTY, IN LAGUNA BEACH ON ROUTE 1 AT THE INTERSECTION OF BROADWAY.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mohamad Elmassri Elsayed
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-19-12
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: 3/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/29/2021
The quantity of what the sample constitutes: 4 Bags of Coldfeed
A brief description of the sample: JMF 1/2" RWHMA-G-SP, 0.25% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0173G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Orange

Material Information

Source Identification (SMARA or name of Pit): 91-33-0035, 91-33-0039
The fabricator's/manufacturer's product name for the sample: 1/2 RWHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 50R003ARSPWEO
A detailed description of where the material sample was collected: Belt Cut at RJ Noble Orange Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-03-19-12-4
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Date Tested: 4/6/2021
Verified Date: 4/15/2021
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:
Additional Comments When Verified :

Submitted Test Results

Bulk specific gravity: 2.631
Bulk specific gravity (SSD Basis): 2.672
Apparent specific gravity: 2.745
Absorption: 1.6 %