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Testing Report for 2021-03-31-11-3

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

Project Information

DEA: 071218W4
EFIS: 0700021119
Project ID: 7613
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-29.4/31.6
Work Description: REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description: LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Vladimir Gurfinkel
Structure Rep.: Gon Choi

Sample Information

DIME Sample ID: 2021-03-31-11
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: 3/31/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/8/2021
The quantity of what the sample constitutes: 4 Bags of Coldfeed, 2 Bags of RAP
A brief description of the sample: PSUE JMF 3/4" HMA-A R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0201A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0035
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: 220805A IRW VLO
A detailed description of where the material sample was collected: Belt Cut at Vulcan 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: 2021-03-31-11-3
Test Method: CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate
Date Tested: 4/14/2021
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

% Water Absorbed: 1.4 %
Bulk Oven Dried Specific Gravity: 2.65