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Testing Report for 2019-12-19-8-3

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

Project Information

DEA: 080J0704
EFIS: 0800000282
Project ID: 209694
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-0.6/1.7
Work Description: (Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location Description: Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fereydoon Alipanah
Structure Rep.: Tim Flores

Sample Information

DIME Sample ID: 2019-12-19-8
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: 12/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 1/7/2020
The quantity of what the sample constitutes: PSUE 7 Bags
A brief description of the sample: 3/4 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0102A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan - Corona

Material Information

Source Identification (SMARA or name of Pit): 91-33-0027, 91-33-0073
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 224112 CORD SJR
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Vulcan Corona 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: 2019-12-19-8-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 1/9/2020
Verified Date: 3/17/2020
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

Basis for relative density testing: Bulk
Specific Gravity: 2.664
Absorption: 0.6 %