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Testing Report for 2021-05-03-9-2

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

Project Information

Project ID: 214845 DEA: 073W9004 EFIS: 0717000130 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-0.3/6.7
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY RUBBERIZED HOT MIX ASPHALT-G.
Location Description: LOS ANGELES COUNTY IN LONG BEACH FROM ATHERTON STREET UNDERCROSSING TO PACIFIC AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Juan Arias Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-03-9
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: 05/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/06/2021
The quantity of what the sample constitutes: 5 Bags Combined Aggregate
A brief description of the sample: PSUE 1/2" RHMA-G-SP, 1.0% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0262G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 1/2 RHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 106836
A detailed description of where the material sample was collected: Belt Cut at All American Irwindale 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: 2021-05-03-9-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/17/2021
Date Tested: 05/07/2021
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: Combined Virgin Agregate Gradation
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method 1 - Combined Fracture Determination
Aggregate Size and Fracture Type Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested 100 %
Percentage of fractured, coarse, 1 faced particles tested 100 %
Percentage of fractured, fine, 1 faced particles tested 100 %