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Testing Report for 2019-06-05-6-2

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

Project Information

DEA: 07202124
EFIS: 0700020870
Project ID: 212888
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-20.9/24.6
Work Description: PAVEMENT REHABILITATION AND BRIDGE WIDENING
Location Description: LOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Peter Lee
Structure Rep.: James Holloway

Sample Information

DIME Sample ID: 2019-06-05-6
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: 6/5/2019
Date that the sample was received by the laboratory/organization performing the testing: 6/5/2019
The quantity of what the sample constitutes: 12 Bags
A brief description of the sample: 1.5: PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: United Rock-Olive Pit Irwindale

Material Information

Source Identification (SMARA or name of Pit): Unknown
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: 1-1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-06-05-6-2
Test Method: CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate
Date Tested: 6/5/2019
Verified Date: 6/5/2019
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

% Water Absorbed: 1 %
Bulk Saturated Surface Dry Specific Gravity: 2.7