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Testing Report for 2019-03-25-18-8

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

Project Information

DEA: 074W2904
EFIS: 0718000114
Project ID: 213691
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-118-0.4/11.0
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND APPLY SLURRY SEAL COAT.
Location Description: VENTURA COUNTY IN VENTURA FROM 0.2 MILE WEST OF ROUTE 118/126 SEPARATION TO ROUTE 34
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joseph Tehrani
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-03-25-18
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: Aggregate
Sample Taken Date: 3/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 3/27/2019
The quantity of what the sample constitutes: PSE 4 bags
A brief description of the sample: 3/4 HMA-A-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0203A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sheldon Boulevard Big Rock Creek

Material Information

Source Identification (SMARA or name of Pit): 91-19-0017::SHELDON
The fabricator's/manufacturer's product name for the sample: 220831
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Manufaturer
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-03-25-18-8
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Date Tested: 4/2/2019
Verified Date: 4/23/2019
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

What test method is performed?: Method A
Bulk dry specific gravity: 2.644
Average uncompacted voids: 46.9 %