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Testing Report for 2019-08-01-16-4

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

Project Information

DEA: 08347704
EFIS: 0800000616
Project ID: 209695
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Shaine Shahidi
Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2019-08-01-16
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: 8/1/2019
Date that the sample was received by the laboratory/organization performing the testing: 8/23/2019
The quantity of what the sample constitutes: JMF 19 Bags
A brief description of the sample: 1/2 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0501A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VMC Calmat San Bernardino, Hi Grade Lucerne Valley

Material Information

Source Identification (SMARA or name of Pit): 91-36-0137, 91-36-0042
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 324109 ORO SJR
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Vulcan Oro Grande 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: 2019-08-01-16-4
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Date Tested: 8/30/2019
Verified Date: 9/5/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Bulk specific gravity: 2.699
Bulk specific gravity (SSD Basis): 2.717
Apparent specific gravity: 2.749
Absorption: 0.7 %