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Testing Report for 2014-06-23-10004262-1

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

Project Information

DEA: 080R6504
EFIS: 0812000132
Project ID: 208788
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15,18,58,138-Var
Work Description: METHACRYLATE,COLD PLANE AND PLACE HMA,REMOVE UNSOUND CONC,REPLC JNT SEAL
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Efe Adodo
Structure Rep.: Ahmad Ankir

Sample Information

DIME Sample ID: 2014-06-23-10004262
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 6/23/2014
Date that the sample was received by the laboratory/organization performing the testing: 7/3/2014
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Kwikbobond Top Sand
From where was the sample collected: Other
Laboratory sample identification: 4186B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Source Identification (SMARA or name of Pit): Unknown
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Unknown
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-06-23-10004262-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Date Tested: 7/14/2014
Verified Date: 2/20/2015
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

Cumulative percent passing the 3/8 in. sieve: 100 %
Cumulative percent passing the #4 sieve: 100 %
Cumulative percent passing the #8 sieve: 65 %
Cumulative percent passing the #16 sieve: 3 %
Cumulative percent passing the #30 sieve: 1 %
Cumulative percent passing the #50 sieve: no data
Cumulative percent passing the #100 sieve: no data
Cumulative percent passing the #200 sieve: no data