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Testing Report for 2021-09-24-25-1

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

Project Information

DEA: 07318204
EFIS: 0715000286
Project ID: 215697
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-Route 1-4.0/4.2
Work Description: CM/GC Project - Work consists of constructing secant wall and slope restoration
Location Description: near Point Mugu State Park 0.4 mile South of Sycamore Canyon Road.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Saeid Shakeri
Structure Rep.: Azizollah Maghsoudloo

Sample Information

DIME Sample ID: 2021-09-24-25
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: Asphalt Binder
Sample Taken Date: 9/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/29/2021
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: 0561-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Irwindale

Material Information

Performance Grade: PG 64-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:

Test Information

DIME Test ID: 2021-09-24-25-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Date Tested: 10/1/2021
Verified Date: 10/5/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Specific Gravity: 1.021