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Testing Report for 2019-05-29-6-4

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

Project Information

DEA: 080A0204
EFIS: 0800000011
Project ID: 213693
QA Service Level: 2
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Farzad Tasbihgoo

Sample Information

DIME Sample ID: 2019-05-29-6
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: 5/29/2019
Date that the sample was received by the laboratory/organization performing the testing: 5/30/2019
The quantity of what the sample constitutes: JMF 7 bags
A brief description of the sample: 3/8 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0310A-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: 3/8 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 106926
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: 3/8 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-05-29-6-4
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Date Tested: 6/6/2019
Verified Date: 7/3/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Bulk specific gravity: 2.668
Bulk specific gravity (SSD Basis): 2.703
Apparent specific gravity: 2.764
Absorption: 1.3 %