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Testing Report for 2021-08-10-10-2

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: 2021-08-10-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 8/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/10/2021
The quantity of what the sample constitutes: 2 bags combine aggregate
A brief description of the sample: 3/4" HMA-A-R12
From where was the sample collected: Manufacturer
Laboratory sample identification: 2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Corporation, rialto

Material Information

Source Identification (SMARA or name of Pit): 91-36-0040
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Conveyer Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: LHP-62D
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-08-10-10-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Date Tested: 8/11/2021
Verified Date: 8/13/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Sand Equivalent: 77