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Testing Report for 2019-07-08-8-8

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

Project Information

DEA: 07312804
EFIS: 0715000069
Project ID: 213690
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-14-R35.0/R53.5
Work Description: CONSTRUCT STORM WATER TREATMENT BMP AND DRAINAGE SYSTEM
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.7 MILE SOUTH OF SOLEDAD CANYON ROAD UNDERCROSSING TO 0.3 MILE SOUTH OF MOUNTAIN SPRINGS ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Abderrahman Al Jamal
Structure Rep.: George Boules

Sample Information

DIME Sample ID: 2019-07-08-8
TL Number from the TL Form: 8636
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 7/8/2019
Date that the sample was received by the laboratory/organization performing the testing: 7/8/2019
The quantity of what the sample constitutes: 10 Bags
A brief description of the sample: 1.0" PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification: 8636
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hi-Grade Littlerock

Material Information

Source Identification (SMARA or name of Pit): 91-19-0026::LITTLE ROCK QUARRY
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Unknown
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-07-08-8-8
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Date Tested: 7/10/2019
Verified Date: 7/25/2019
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: complies
Additional Comments When Verified :

Submitted Test Results

Cleanness value (11/2 in. maximum aggregate mix): 89