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Testing Report for 2021-07-19-3-3

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

Project Information

DEA: 09385804
EFIS: 0920000046
Project ID: 215636
QA Service Level: 1
DIST-CO-RTE-PM: 09-KER-58-R129.4/R135.1,R143.2/R143.9
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA.
Location Description: KERN COUNTY NEAR BORON FROM 0.3 MILE WEST OF EDWARDS AFB OVERCROSSING TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING AND FROM 0.7 MILE WEST OF SAN BERNARDINO COUNTY LINE TO SAN BERNARDINO COUNTY LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joselyn Vidaca
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-19-3
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: 7/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/20/2021
The quantity of what the sample constitutes: 2 Bags of Combined Aggregate, 1 Bag of RAP
A brief description of the sample: PSUE 3/4" HMA-A-SP R15, 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0415A-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: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 300154 LSM 70 10
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: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-07-19-3-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 7/22/2021
Verified Date: 7/28/2021
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

Basis for relative density testing: Bulk
Specific Gravity: 2.708
Absorption: 0.6 %