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Testing Report for 2021-06-24-13-7

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

Project Information

DEA: 081H7704
EFIS: 0817000132
Project ID: 214586
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-4.5/5.8
Work Description: INSTALL SIGN STRUCTURE, HMA, MODIFY RAMP METERING AND RETAINING WALL.
Location Description: SAN BENARDINO COUNTY IN SAN BERNARDINO FROM 0.5 MILE SOUTH OR ORANGE SHOW ROAD/AUTO PLAZA DRIVE OVERCROSSING TO 0.2 MILE NORTH OF INLAND CENTER DRIVE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nicholas Mineo
Structure Rep.: Sylvia Stracner

Sample Information

DIME Sample ID: 2021-06-24-13
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: 6/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 6/28/2021
The quantity of what the sample constitutes: 2 Bags Of Combined Agg., 2 Bags Rap
A brief description of the sample: PSUE 3/4" HMA-A-SP R15 No LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0391A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - Corona

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 105927
A detailed description of where the material sample was collected: Belt Cut at All American Corona
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-06-24-13-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Date Tested: 7/2/2021
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

Method: 1 - Combined Fracture Determination
Aggregate Size and Fracture Type: Coarse 1 and 2 Faced and Fine 1 Faced
Percentage of fractured, coarse, 2 faced particles tested: 100 %
Percentage of fractured, coarse, 1 faced particles tested: 100 %
Percentage of fractured, fine, 1 faced particles tested: 100 %