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Testing Report for 2020-01-31-1-6

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

Project Information

DEA: 051M2404
EFIS: 0519000085
Project ID: 214634
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-21.8/22.0
Work Description: Goleta Cross Slope Correction
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kevin Murdock
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-01-31-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 1/31/2020
Date that the sample was received by the laboratory/organization performing the testing: 1/31/2020
The quantity of what the sample constitutes: Verification Testing
A brief description of the sample: 6 bags virgin 1 bag LSM
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Garey

Material Information

Source Identification (SMARA or name of Pit): 91-42-0014
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: HMA 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: 2020-01-31-1-6
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Date Tested: 2/13/2020
Verified Date: 2/13/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email:
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Method: 2 - Individual Fracture Determination
Aggregate Size and Fracture Type: Coarse 2 Faced
Weighted average percentage of fractured, coarse, 2 faced particles: 98 %