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Testing Report for 2019-07-20-3-5

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

Project Information

Project ID: 209141 DEA: 07215954 EFIS: 0700001835 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-0.0/7.6
Work Description: WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description: LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Thang Ton Structure Rep.: Amare Tsagie

Sample Information

DIME Sample ID: 2019-07-20-3
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: 07/20/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2019
The quantity of what the sample constitutes: JMF 7 bags
A brief description of the sample: 3/4 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0438A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials

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: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 220805A IRW VLO
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Vulcan Irwindale 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: 2019-07-20-3-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 08/22/2019
Date Tested: 07/29/2019
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: Virgin Aggregate Gradation
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Grading B
Percent wear (100 Rev Test) 5 %
Percent wear (500 Rev Test) 20 %