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Testing Report for 2014-08-29-9-2

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

Project Information

DEA: 07202114
EFIS: 0700020869
Project ID: 3951
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-17.2/26.4
Work Description: PAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location Description: LOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Mike Wang
Structure Rep.: Greg Alexander

Sample Information

DIME Sample ID: 2014-08-29-9
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 8/29/2014
Date that the sample was received by the laboratory/organization performing the testing: 9/3/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Class 3 Aggregate Base
From where was the sample collected: Other
Laboratory sample identification: 4242B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sta 1379 50

Material Information

Source Identification (SMARA or name of Pit): Atlantic Blvd Contractors Yard
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Sta 1379 50
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-08-29-9-2
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 9/4/2014
Verified Date: 2/20/2015
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: comply
Additional Comments When Verified :

Submitted Test Results

Number of tests: 1
Sand equivalent after temperature correction: 31