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Testing Report for 2021-05-24-8-2

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

Project Information

DEA: 07309304
EFIS: 0714000281
Project ID: 214620
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210,405,605-Various
Work Description: REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: MOHAMMAD IZADPANAH
Structure Rep.: Richard Joludow

Sample Information

DIME Sample ID: 2021-05-24-8
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: 5/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/25/2021
The quantity of what the sample constitutes: 3 Bags Coldfeed Aggregate
A brief description of the sample: PSUE 3/4" RHMA-G -SP 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0303G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 106835
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-05-24-8-2
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 5/28/2021
Verified Date: 6/2/2021
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: 2.742
Absorption: 0.5 %