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Testing Report for 2019-06-19-9-7

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

Project Information

DEA: 073W9904
EFIS: 0717000162
Project ID: 214060
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-27-0.0/10.8
Work Description: APPLY SLURRY SEAL TO ROADWAY
Location Description: LOS ANGELES COUNTY NEAR LOS ANGELES FROM ROUTE 1 TO 0.1 MILE NORTH OF CEZANNE AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Zarif Saykali
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-06-19-9
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: 6/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 6/24/2019
The quantity of what the sample constitutes: JMF 12 bags
A brief description of the sample: 3/4 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0369A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sheldon, Boulevard, Big Rock Creek

Material Information

Source Identification (SMARA or name of Pit): Sheldon, Boulevard, Big Rock Creek
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 220831 SVA 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: 2019-06-19-9-7
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Date Tested: 7/5/2019
Verified Date: 8/22/2019
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

Method: B
Determination: By Mass
Dimensional ratio used: 1:5
Weighted percentage of particles (by mass) that were flat and elongated: no data
Weighted percentage of particles (by mass) that were not flat and elongated: 100 %