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Testing Report for 2019-03-16-3-10

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

Project Information

Project ID: 212889 DEA: 073009U4 EFIS: 0714000238 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-R0.7/24.1
Work Description: REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT.
Location Description: LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Thang Ton Structure Rep.: Quan Ho

Sample Information

DIME Sample ID: 2019-03-16-3
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: Hot Mix Asphalt
Sample Taken Date: 03/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2019
The quantity of what the sample constitutes: 20 boxes
A brief description of the sample: 3/4" HMA-A R15 PG64-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-03-16-3-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 04/05/2019
Date Tested: 03/25/2019
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

Number of tests 1
Mass Determination Air
Specific Gravity for Sample 1 2.507