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Testing Report for 2021-07-07-19-9

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

Project Information

DEA: 081K8404
EFIS:
Project ID: 215534
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-247-39.0/42.0&46.0/70.0
Work Description: RUBBERIZED HMA AND HIGH DENSITY POLYURETHANE MATERIAL INJECTION.
Location Description: SAN BERNARDINO COUNTY AT LUCERNE VALLEY FROM 0.5 MILE SOUTH OF CAMP ROCK ROAD TO 0.1 MILE SOUTH OF MIDWAY AVENUE AND FROM 1.1 MILES SOUTH OF HOLMES ROAD TO 1.2 MILES NORTH OF STODDARD VALLEY ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-07-19
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 7/7/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/20/2021
The quantity of what the sample constitutes: 4 Bags of Combined Aggregate
A brief description of the sample: JMF 1/2" RHMA-G-SP 0.6% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0414G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials-Victorville

Material Information

Source Identification (SMARA or name of Pit): 91-36-0106, 91-36-0046
The fabricator's/manufacturer's product name for the sample: 1/2 RHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 300191
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Victorville 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: 2021-07-07-19-9
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: 7/23/2021
Verified Date: 7/26/2021
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
Percent loss after 100 revolutions: 5 %
Percent loss after 500 revolutions: 24 %