Print Report | Back to Test Summary

Testing Report for 2019-06-04-7-2

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

Project Information

DEA: 07215944
EFIS: 0700001834
Project ID: 7428
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-4.0/5.9
Work Description: RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location Description: LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jerome Arabe
Structure Rep.: Amare Tsegie

Sample Information

DIME Sample ID: 2019-06-04-7
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: 6/4/2019
Date that the sample was received by the laboratory/organization performing the testing: 6/6/2019
The quantity of what the sample constitutes: PSE 6 bags
A brief description of the sample: 3/4 HMA-A R10
From where was the sample collected: Manufacturer
Laboratory sample identification: 0326A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

Source Identification (SMARA or name of Pit): Vulcan Irwindale
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A R10
The fabricator/manufacturer designation for the sample: 220805 IRW VLO
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: 2019-06-04-7-2
Test Method: CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles
Date Tested: 6/11/2019
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: 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

Percent Coarse Crushed: 98 %
Percent Fine Crushed: 99 %