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Testing Report for 2021-03-19-20-3

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

Project Information

DEA: 120N7204
EFIS: 1214000093
Project ID: 214674
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-10.0/R28.0
Work Description: IN ORANGE COUNTY IN LAGUNA NIGUEL, LAGUNA BEACH, NEWPORT BEACH, ALISO VIEJO, LAGUNA HILLS, IRVINE AND COSTA MESA FROM 0.3 MI SOUTH OF NB 73/SB 5 CONNECTOR TO 0.2 MILE NORTH OF NB 73/NB 405 CONNECTOR.
Location Description: UPGRADE SAFETY DEVICES, RELOCATE CONTROL CABINET, CCTV'S & ELECTROLIERS, REMOVE & REPLACE OH SIGN STRUCTURES
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Chris Blanco
Structure Rep.: Chungkeun Lee

Sample Information

DIME Sample ID: 2021-03-19-20
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: 6 Bags of Combined Aggregate
A brief description of the sample: JMF 1/2" HMA-O-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0174O-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Irvine

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-O SP
The fabricator/manufacturer designation for the sample:
The plant number: 109930
A detailed description of where the material sample was collected: Belt Cut at All American Irvine 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: 2021-03-19-20-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse 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

Basis for relative density testing: Bulk
Specific Gravity: 2.699
Absorption: 1 %