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Testing Report for 2021-06-14-34-4

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

Project Information

DEA: 120S4404
EFIS: 1220000069
Project ID: 215468
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-142-3.1/6.4
Work Description: COLD PLANE AC PVMT AND PLACE RHMA.
Location Description: ORANGE COUNTY IN BREA FROM 0.5 MILE EAST OF BREA HILLS AVENUE TO SAN BERNARDINO COUNTY LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Lieu Pham
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-14-34
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: 6/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/22/2021
The quantity of what the sample constitutes: 3 Bags Of Combined Aggregate
A brief description of the sample: PSUE 1/2" RHMA-G-WMA 0.6% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0379G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Material-Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0052
The fabricator's/manufacturer's product name for the sample: 1/2 RWMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 300191 WMA
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond 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: 2021-06-14-34-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 6/24/2021
Verified Date: 7/6/2021
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

Grading designation: C
Mass of sample on No.12 sieve (after 500 revolutions): 2980 grams
Percent loss after 100 revolutions: 9 %
Percent loss after 500 revolutions: 40 %