Print Report | Back to Test Summary

Testing Report for 2021-09-01-41-1

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

Project Information

DEA: 074W9304
EFIS: 0720000195
Project ID: 215756
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-105-R0.0/R12.9
Work Description: APPLY SLURRY SEAL TO ROADWAY.
Location Description: LOS ANGELES COUNTY IN EL SEGUNDO AND LYNWOOD FROM CALIFORNIA STREET TO ATLANTIC AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jose Ferrer
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-01-41
TL Number from the TL Form: C923896
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 9/1/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/7/2021
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: PG Asphalt Binder
From where was the sample collected: Supplier
Laboratory sample identification: C923896
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Valero Marketing & Supply - Benicia CA
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-09-01-41-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Date Tested: 9/10/2021
Verified Date: 9/10/2021
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: complies
Additional Comments When Verified :

Submitted Test Results

Specific Gravity: 1.027