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Testing Report for 2021-06-23-23-8

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

Project Information

DEA: 081L6704
EFIS:
Project ID: 215535
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-62-15.1/29.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING, SLURRY SEAL, AND STRIPING.
Location Description: SAN BERNARDINO COUNTY AT AND NEAR JOSHUA TREE FROM YUCCA MESA ROAD TO BERMUDA AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-23-23
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: 6/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/7/2021
The quantity of what the sample constitutes: 6 Bags of Combined Aggregate, 4 Bags of Rap
A brief description of the sample: JMF 3/4" HMA-A-SP R22 0.75% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0405A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Cabazon

Material Information

Source Identification (SMARA or name of Pit): 91-33-0008
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R22
The fabricator/manufacturer designation for the sample:
The plant number: CHP 64D
A detailed description of where the material sample was collected: Belt Cut at Matich Cabazon Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-06-23-23-8
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Date Tested: 7/14/2021
Verified Date: 7/19/2021
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: B
Determination: By Mass
Dimensional ratio used: 5:1
Weighted percentage of particles (by mass) that were flat and elongated: no data
Weighted percentage of particles (by mass) that were not flat and elongated: 100 %