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Testing Report for 2019-06-29-3-3

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

Project Information

Project ID: 213603 DEA: 07301504 EFIS: 0714000020 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1,10-R34.6/35.2,R2.1/18.4
Work Description: REPLACING CONCRETE AND AC PAVEMENT
Location Description: LOS ANGELES COUNTY IN SANTA MONICA AND LOS ANGELES ON ROUTE 1 FROM 0.1 MILE WEST OF MAIN STREET OVERCROSSING TO ROUTE 1/10 SEPARATION AND ON ROUTE 10 FROM ROUTE 1/10 SEPARATION TO ROUTE 5/10 SEPARATION AND AT ROUTE 10/110 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mahinda Ram Structure Rep.: Frank Lotfi

Sample Information

DIME Sample ID: 2019-06-29-3
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: 06/29/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/03/2019
The quantity of what the sample constitutes: JMF 4 bags
A brief description of the sample: 1/2 RHMA-G-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0402G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fish Canyon - Irwindale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0035::FISH CANYON QUARRY
The fabricator's/manufacturer's product name for the sample: 1/2 RHMA-A-SP
The fabricator/manufacturer designation for the sample: 326120A IRW 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: 1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-06-29-3-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 08/22/2019
Date Tested: 07/07/2019
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 2.683
Absorption 1 %