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Testing Report for 2019-08-05-13-4

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

Project Information

DEA: 09373704
EFIS: 0918000004
Project ID: 214006
QA Service Level: 1
DIST-CO-RTE-PM: 09-KER-178,395-75.0/81.0,R23.4/29.5
Work Description: PLACE HMA (TYPE A) AND RHMA-G.
Location Description: KERN COUNTY ABOUT 11 MILES WEST OF INYOKERN ON ROUTE 178 FROM 2.0 MILES WEST TO 4.0 MILES EAST OF CANE BRAKE CREEK BRIDGE AND NEAR INYOKERN ON ROUTE 395 FROM 5.8 MILES NORTH TO 0.3 MILE SOUTH OF ROUTE 178/395 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Andy Tran
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-08-05-13
TL Number from the TL Form: None
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Per Request
Type of Material: Aggregate
Sample Taken Date: 8/5/2019
Date that the sample was received by the laboratory/organization performing the testing: 8/6/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 100% RAP for Shoulder Backing
From where was the sample collected: Source
Laboratory sample identification: 8667
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Caltrans

Material Information

Source Identification (SMARA or name of Pit): Unknown
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: Rte 395 Stockpile
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: 2019-08-05-13-4
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 8/15/2019
Verified Date: 9/23/2019
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

Number of tests: 2
Sand equivalent after temperature correction: 96