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Testing Report for 2019-04-25-6-3

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

Project Information

Project ID: 213606 DEA: 081E6104 EFIS: 0814000055 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-62-41.0/41.5and60.6/61.1
Work Description: WIDENING OF SHOULDER AND INSTALLING RUMBLE STRIPS
Location Description: SAN BERNARDINO COUNTY NEAR TWENTYNINE PALMS FROM 0.7 MILE TO 1.2 MILES EAST OF GODWIN ROAD AND FROM 5.6 MILES TO 6.1 MILES EAST OF IRONAGE ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Samer Georges Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-25-6
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: 04/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/06/2019
The quantity of what the sample constitutes: PSE 4 bags
A brief description of the sample: 3/4 RHMA-G-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0263G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Corona

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005::ALL AMERICAN ASPHALT
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample: 106835
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: 2019-04-25-6-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 05/30/2019
Date Tested: 05/08/2019
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

Basis for relative density testing Bulk
Specific Gravity 2.632
Absorption 1.1 %