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Testing Report for 2021-07-23-5-3

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

Project Information

DEA: 074W9404
EFIS: 0720000196
Project ID: 215609
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-0.0/1.0
Work Description: COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Susana Facio
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-23-5
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: 7/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/27/2021
The quantity of what the sample constitutes: 4 Bags of Combined Aggregate
A brief description of the sample: JMF 4/2" RHMA-G-WMA, 0.6% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0431G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Material-Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0052 UNITED ROCK CORPORATION OLIVE PIT MINE
The fabricator's/manufacturer's product name for the sample: 1/2 RHMA-G-WMA
The fabricator/manufacturer designation for the sample:
The plant number: 300191 WMA
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Irwindale 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: 2021-07-23-5-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 7/30/2021
Verified Date: 8/4/2021
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: 2.613
Absorption: 1.2 %