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Testing Report for 2019-07-18-15-8

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

Project Information

DEA: 083555V4
EFIS: 0814000086
Project ID: 210569
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-42.5/46.0
Work Description: WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Taghreed Al-Khateeb
Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2019-07-18-15
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: 7/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 7/23/2019
The quantity of what the sample constitutes: PSE 14 bags
A brief description of the sample: 1 HMA-A-SP R20
From where was the sample collected: Manufacturer
Laboratory sample identification: 0435A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Agcon-Oro Grande, Cemex-White Mountain

Material Information

Source Identification (SMARA or name of Pit): 91-36-0046, 91-36-0106
The fabricator's/manufacturer's product name for the sample: 1 HMA-A-SP R20
The fabricator/manufacturer designation for the sample: 300222 WM R20
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Victorville Plant
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: 2019-07-18-15-8
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Date Tested: 7/26/2019
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

What test method is performed?: Method A
Bulk dry specific gravity: 2.575
Average uncompacted voids: 43.1 %