Print Report | Back to Test Summary

Testing Report for 2021-08-14-1-4

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

Project Information

DEA: 081C8504
EFIS: 0813000047
Project ID: 215109
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-0.0/5.8
Work Description: ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Osama Abdalla
Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2021-08-14-1
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: 8/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/17/2021
The quantity of what the sample constitutes: 6 Bags of Aggregate, 2 Bags of RAP
A brief description of the sample: PSUE 3/4" HMA-A-SP R24
From where was the sample collected: Manufacturer
Laboratory sample identification: 0476A-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: 3/4 HMA-A-SP R24
The fabricator/manufacturer designation for the sample:
The plant number: 53417615
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: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1

Test Information

DIME Test ID: 2021-08-14-1-4
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: 8/23/2021
Verified Date: 8/31/2021
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): 4098 grams
Percent loss after 100 revolutions: 4 %
Percent loss after 500 revolutions: 18 %