Print Report | Back to Test Summary

Testing Report for 2021-07-17-3-4

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

Project Information

DEA: 081H4904
EFIS: 0817000059
Project ID: 215494
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-31.9/38.5
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A).
Location Description: SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nhan Nguyen
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-17-3
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: 7/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/21/2021
The quantity of what the sample constitutes: 5 Bags of Combined Aggregate, 3 Bags of RAP
A brief description of the sample: JMF 3/4" HMA-A-SP R12, 0.75%LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0419A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Lytle Creek

Material Information

Source Identification (SMARA or name of Pit): 91-36-0040
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R12
The fabricator/manufacturer designation for the sample:
The plant number: LHP 62D
A detailed description of where the material sample was collected: Belt Cut at Matich Lytle Creek 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: 2021-07-17-3-4
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: 7/26/2021
Verified Date: 7/29/2021
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: B
Mass of sample on No.12 sieve (after 500 revolutions): 3319 grams
Percent loss after 100 revolutions: 8 %
Percent loss after 500 revolutions: 34 %