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Testing Report for 2020-01-30-33-4

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

Project Information

DEA: 120H1004
EFIS: 1200000180
Project ID: 208973
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405,73,405,605-9.3/24.3
Work Description: (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description: Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Hank Alonso (reports)
Structure Rep.: Cal Zachman (reports)

Sample Information

DIME Sample ID: 2020-01-30-33
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: 1/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 2/21/2020
The quantity of what the sample constitutes: JMF 8 Bags
A brief description of the sample: 3/4 HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0144A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt

Material Information

Source Identification (SMARA or name of Pit): 91-33-0005::ALL AMERICAN ASPHALT
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: 105793
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at All American Asphalt 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: 2020-01-30-33-4
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Date Tested: 2/28/2020
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

Bulk specific gravity: 2.678
Bulk specific gravity (SSD Basis): 2.716
Apparent specific gravity: 2.783
Absorption: 1.4 %