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Testing Report for 2014-02-18-10305061-5

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

Project Information

DEA: 07272404
EFIS: 0700000506
Project ID: 209071
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-14.9/16.8
Work Description: REPLACE PLANTING AND IRRIGATION SYSTEM
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INDIANA STREET UNDERCROSSING TO BOYLE AVENUE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Pravin Patel
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2014-02-18-10305061
TL Number from the TL Form:
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: 2/18/2014
Date that the sample was received by the laboratory/organization performing the testing: 2/19/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: WCS
From where was the sample collected: Source
Laboratory sample identification: 4074B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Azusa Quarry

Material Information

Source Identification (SMARA or name of Pit): SMARA No. 91-19-0007
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: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-02-18-10305061-5
Test Method: CTM 229-June 2011: Method of Test for Durability Index
Date Tested: 2/26/2014
Verified Date: 4/7/2014
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

Fine durability index: 65