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Testing Report for 2021-08-13-34-4

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

Project Information

DEA: 040W3904
EFIS: 0420000212
Project ID: 215605
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-160-L1.1/0.6
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA (A).
Location Description: CONTRA COSTA COUNTY IN ANTIOCH FROM 0.2 MILE SOUTH OF MAIN STREET TO 0.1 MILE NORTH OF WILBUR AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-13-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - DME / District Lab
Sample Organization Contact: (510) 507-3456
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 8/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/13/2021
The quantity of what the sample constitutes: 3 Bags of Mix Aggregates
A brief description of the sample: 3 Bags of Mix Aggregates
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ABM ANTIOCH

Material Information

Source Identification (SMARA or name of Pit): 91-07-0004
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: ABM CONTINUOUS PLANT
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-08-13-34-4
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: 8/18/2021
Verified Date: 9/9/2021
Submitted By Organization: CT D04 - DME / District Lab
Organization Address: 21339 Cabot Blvd,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 507-3456
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): 4348 grams
Percent loss after 100 revolutions: 3 %
Percent loss after 500 revolutions: 13 %