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Testing Report for 2021-06-03-35-3

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

Project Information

DEA: JMFPP
EFIS: 0019000043
Project ID: 66667
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-03-35
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 6/3/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/2/2021
The quantity of what the sample constitutes: 6 Bags of Combined Aggregate
A brief description of the sample: JMF Prequalification 3/4" RHMA-G-SP, 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0438G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample:
The plant number: 106835
A detailed description of where the material sample was collected: Belt Cut at All American Irwindale 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: 2021-06-03-35-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 8/5/2021
Verified Date: 8/10/2021
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: 2.674
Absorption: 0.7 %