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Testing Report for 2019-03-25-19-6

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

Project Information

DEA: 07303504
EFIS: 0714000007
Project ID: 213738
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-23-0.0/R3.3
Work Description: COLD PLANE & OVERLAY ASPHALT CONCRETE PAVEMENT AND UPGRADE CURB RAMPS.
Location Description: VENTURA COUNTY IN THOUSAND OAKS FROM CARLISLE ROAD TO ROUTE 101
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Alfred Ira
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-03-25-19
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: 3/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 4/2/2019
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 3/8" PCC Gravels
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Moorpark

Material Information

Source Identification (SMARA or name of Pit): 91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Stockpile @ Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-03-25-19-6
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Date Tested: 4/10/2019
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

Cumulative percent passing the 1/2 in. sieve: 100 %
Cumulative percent passing the 3/8 in. sieve: 93 %
Cumulative percent passing the #4 sieve: 9 %
Cumulative percent passing the #8 sieve: 2 %