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Testing Report for 2021-05-10-12-2

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

Project Information

Project ID: 214466 DEA: 081F1414 EFIS: 0815000231 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-15-54.2/54.3
Work Description: Slab & lane replacement with JPCP & precast conc pavement, place HMA.
Location Description: Riverside and San Diego County
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Bergevin Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-10-12
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Sample Organization Contact: (760) 843-4173
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 05/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/11/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/8' hma -a -sp
From where was the sample collected: Distributor
Laboratory sample identification: 76 tons out
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: security paving

Material Information

Source Identification (SMARA or name of Pit): 91-33-0098
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: Conveyor Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: 53891193
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-05-10-12-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 843-4173
Data has not been verified