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Testing Report for 2021-05-27-25-2

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

Project Information

DEA: 081C6804
EFIS: 0812000343
Project ID: 215236
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74,79and371-Varies
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGE, RETAINING WALL AND BOX CULVERT.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nick Truong
Structure Rep.: Arnel L. Vega

Sample Information

DIME Sample ID: 2021-05-27-25
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: 5/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/2/2021
The quantity of what the sample constitutes: 6 Bags Coldfeed Aggregate 3 Bags RAP
A brief description of the sample: JMF 1/2" HMA-A-SP R25 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0321A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Lake Elsinore

Material Information

Source Identification (SMARA or name of Pit): 91-33-0098, 91-33-0011
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-A-SP R25
The fabricator/manufacturer designation for the sample:
The plant number: 51217615
A detailed description of where the material sample was collected: Belt Cut at California Commercial Asphalt Lake Elsinore 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: 2021-05-27-25-2
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Date Tested: 6/8/2021
Verified Date: 6/9/2021
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

Bulk specific gravity: 2.604
Bulk specific gravity (SSD Basis): 2.634
Apparent specific gravity: 2.686
Absorption: 1.2 %