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Testing Report for 2014-08-28-13-4

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

Project Information

DEA: 07295004
EFIS: 0713000008
Project ID: 209583
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-41.7/48.3
Work Description: COLD PLANE AC PVMT AND PLACE RUBBERIZED HMA, SUPERPAVE.
Location Description: LOS ANGELES COUNTY IN POMONA, SAN DIMAS AND CLAREMONT FROM 0.7 MILE WEST OF ROUTE 10/57 SEPARATION TO SAN BERNARDINO COUNTY LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Martin Sandoval
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2014-08-28-13
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 8/28/2014
Date that the sample was received by the laboratory/organization performing the testing: 9/22/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Three eighths inch PCC Aggregates
From where was the sample collected: Source
Laboratory sample identification: 4271B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Azusa Quarry

Material Information

Source Identification (SMARA or name of Pit): SMARA 91 19 0007
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: Stockpiles
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2014-08-28-13-4
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Date Tested: 10/8/2014
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

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data
Percentage Loss of material retained on 1 x ¾ in. sieve: no data
Percentage Loss of material retained on ¾ x ½ in. sieve: no data
Percentage Loss of material retained on ½ x ⅜ in. sieve: no data
Percentage Loss of material retained on ⅜ in. x #4 sieve: no data
Weighted Average Percent Loss of Coarse Aggregate: 2.0 %