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Testing Report for 2021-04-29-11-3

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

Project Information

DEA: 081G0104
EFIS: 0815000106
Project ID: 215149
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-62-124.8/142.0
Work Description: PLACE RHMA-G, HMA, STRUCTURAL CONCRETE & ROCK SLOPE PROTECTION.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM 1.8 MILES WEST OF ROUTE 95 TO 0.3 MILE WEST OF PARKER DAM ROAD.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Darcy Davis
Structure Rep.: Jose Torres

Sample Information

DIME Sample ID: 2021-04-29-11
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: 4/29/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/30/2021
The quantity of what the sample constitutes: 10 Bags of Agg., 1 Bag of RAP, 2 Bags of Coldfeed
A brief description of the sample: PSUE 3/4" HMA-A-SP R25 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0249A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Indio

Material Information

Source Identification (SMARA or name of Pit): 91-33-0072
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R25
The fabricator/manufacturer designation for the sample:
The plant number: 1535
A detailed description of where the material sample was collected: Belt Cut at Granite Indio 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: 2021-04-29-11-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 5/5/2021
Verified Date: 5/18/2021
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: 2.63
Absorption: 0.8 %