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Testing Report for 2019-12-17-21-3

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

Project Information

DEA: 07293704
EFIS: 0713000239
Project ID: 212600
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110,405-8.0/9.0,12.2/13.2
Work Description: WIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR.
Location Description: LOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: SAM GALLARDO
Structure Rep.: Gregory R. Alexander

Sample Information

DIME Sample ID: 2019-12-17-21
TL Number from the TL Form: C914424
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: 12/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2019
The quantity of what the sample constitutes: 1 BAG
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: 9019
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CEMEX READY MIX COMPTON PLANT

Material Information

Source Identification (SMARA or name of Pit): 91-36-0106
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: unknown
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-12-17-21-3
Test Method: CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying
Date Tested: 12/26/2019
Verified Date: 3/13/2020
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

Percent moisture: 6.9000000000 %