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Testing Report for 2014-03-21-13000017-3

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

Project Information

DEA: 073X3504
EFIS: 0712000166
Project ID: 209169
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-105-R2.6
Work Description: RECONSTRUCT SLOPE AND HYDROSEED.
Location Description: LOS ANGELES COUNTY IN HAWTHORNE AT 0.1 MILE EAST OF INGLEWOOD AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: ZARIF SAYKALI
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2014-03-21-13000017
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: 3/21/2014
Date that the sample was received by the laboratory/organization performing the testing: 3/26/2014
The quantity of what the sample constitutes: 7 Bags
A brief description of the sample: 1 1/2 Rock
From where was the sample collected: Source
Laboratory sample identification: 4117B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Ready Mix - Cabazon Quarry

Material Information

Source Identification (SMARA or name of Pit): SMARA 91-33-0008
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: Robertsons Ready Mix - Cabazon Quarry - Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-03-21-13000017-3
Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine
Date Tested: 4/3/2014
Verified Date: 2/20/2015
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: comply
Additional Comments When Verified :

Submitted Test Results

Grading: A
Percent wear: 39 %