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Testing Report for 2019-04-15-3-6

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

Project Information

DEA: 081E5814
EFIS: 0816000072
Project ID: 213255
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-95-40.0/40.4
Work Description: WIDEN SHOULDERS AND PLACE GROUND-IN RUMBLE STRIP
Location Description: SAN BERNARDINO COUNTY NEAR NEEDLES FROM 2.7 MILES TO 3.1 MILES NORTH OF HAVASU LAKE ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: DARCY DAVIS
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-15-3
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: Aggregate
Sample Taken Date: 4/15/2019
Date that the sample was received by the laboratory/organization performing the testing: 4/16/2019
The quantity of what the sample constitutes: JMF 12 bags
A brief description of the sample: 3/4 HMA-A-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0229A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: West Coast Aggregate

Material Information

Source Identification (SMARA or name of Pit): 91-33-0072
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP
The fabricator/manufacturer designation for the sample: 3881
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Plant
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: 2019-04-15-3-6
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Date Tested: 4/18/2019
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

Sand Equivalent: 83