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Testing Report for 2021-05-12-56-6

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

Project Information

DEA: 07332604
EFIS: 0716000287
Project ID: 215221
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-R12.4/14.9
Work Description: REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location Description: THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Gilbert Trujillo
Structure Rep.: Bernabe Contreras

Sample Information

DIME Sample ID: 2021-05-12-56
TL Number from the TL Form: 4043
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: 5/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/14/2021
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: 3/8" PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons - Cabazon

Material Information

Source Identification (SMARA or name of Pit): 91-33-0008
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
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-05-12-56-6
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Date Tested: 6/1/2021
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: This was a retest. first trial failed the gradation on passing the #4 sieve..
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Cumulative percent passing the 1/2 in. sieve: 100 %
Cumulative percent passing the 3/8 in. sieve: 99 %
Cumulative percent passing the #4 sieve: 24 %
Cumulative percent passing the #8 sieve: 4 %