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Testing Report for 2021-03-26-19-10

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

Project Information

DEA: 081F1434
EFIS: 0815000233
Project ID: 215212
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-38.2/51.5
Work Description: INDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT.
Location Description: RIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ali Chinichian
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-26-19
TL Number from the TL Form: 3525
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 3/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 3/27/2021
The quantity of what the sample constitutes: 5 bgas
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Aggregate Alberhill

Material Information

Source Identification (SMARA or name of Pit): unknown
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-03-26-19-10
Test Method: CTM 229-June 2011: Method of Test for Durability Index
Date Tested: 4/15/2021
Verified Date: 4/19/2021
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

Fine durability index: 73