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Testing Report for 2019-06-10-6-3

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

Project Information

Project ID: 213637 DEA: 07303304 EFIS: 0714000008 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1-0.0/4.4
Work Description: COLD PLANE AND RHMA OVERLAY, GUARDRAIL, AND ROADSIDE SIGNS
Location Description: VENTURA COUNTY FROM LOS ANGELES/VENTURA COUNTY LINE TO SYCAMORE CANYON ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Houshang C Shohet Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-06-10-6
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: 06/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/12/2019
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: 0343G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Palmdale Quarry

Material Information

Source Identification (SMARA or name of Pit): 91-19-0020::PALMDALE
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample: 226108 SAT - LTR
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: 2019-06-10-6-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 07/03/2019
Date Tested: 06/13/2019
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 2.648
Absorption 1 %