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Testing Report for 2021-04-19-27-6

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

Project Information

DEA: 080K1234
EFIS: 0815000242
Project ID: 214885
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-64.6/75.3
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RHMA-G.
Location Description: SAN BERNARDINO COUNTY FROM 1.2 MILES SOUTH OF SIDEWINDER ROAD OVERCROSSING TO MOJAVE RIVER BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Taghreed Al-Khateeb
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-19-27
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: 4/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/3/2021
The quantity of what the sample constitutes: 11 Bags of Agg., 2Bags of Coldfeed, 2 Bags of RAP
A brief description of the sample: JMF 3/4" RHMA-G-SP, 10% RAP, 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0250G-10R-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials

Material Information

Source Identification (SMARA or name of Pit): 91-36-0040, 91-36-0106
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP R10
The fabricator/manufacturer designation for the sample:
The plant number: 300072 LSM LC 10 RAP
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Victorville 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: 2021-04-19-27-6
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Date Tested: 5/11/2021
Verified Date: 5/17/2021
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

Sand Equivalent: 79