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Testing Report for 2016-03-24-11-2

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

Project Information

DEA: 08043514
EFIS: 0800000010
Project ID: 208714
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-58-R22.2/R31.1
Work Description: REALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location Description: HINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Shaine Shahidi
Structure Rep.: Ahmad Ankir

Sample Information

DIME Sample ID: 2016-03-24-11
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 3/24/2016
Date that the sample was received by the laboratory/organization performing the testing: 4/1/2016
The quantity of what the sample constitutes: 6 Bags
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification: 6112B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi Grade Lucern Valley

Material Information

Source Identification (SMARA or name of Pit): SMARA 91 36 0042
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2016-03-24-11-2
Test Method: CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate
Date Tested: 5/20/2016
Verified Date: 10/15/2019
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

% Absorption: 1.6 %
Specific Gravity: 2.62