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Testing Report for 2021-07-19-12-7

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

Project Information

DEA: 081F1414
EFIS: 0815000231
Project ID: 214466
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-15-54.2/54.3
Work Description: Slab & lane replacement with JPCP & precast conc pavement, place HMA.
Location Description: Riverside and San Diego County
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Bergevin
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-19-12
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: 7/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/22/2021
The quantity of what the sample constitutes: 6 Bags of Combined Aggregate
A brief description of the sample: PSUE 1/2" HMA-A-SP R12, 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0421G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Lake Elsinore

Material Information

Source Identification (SMARA or name of Pit): 91-33-0098, 91-33-0011
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: 51218180
A detailed description of where the material sample was collected: Belt Cut at California Commercial Asphalt Lake Elsinore 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: 2021-07-19-12-7
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Date Tested: 7/28/2021
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:
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 %