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Testing Report for 2020-02-20-18-5

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

Project Information

DEA: 080C70U4
EFIS: 0815000189
Project ID: 212302
QA Service Level: 2
DIST-CO-RTE-PM: 08-SBD-210-PM R 25
Work Description: The SR 210 Base Line Interchange project, in the City of Highland, includes widening of the Base Line overcrossing at the SR 210, along with additional ramp widening improvements for the northbound on-ramp, northbound off-ramp and southbound on-ramps.
Location Description: SR210 Lane Addition work proposes to improve SR 210 within the cities of Highland, Redlands, San Bernardino and unincorporated sections of San Bernardino County,
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Khalid Bazmi
Structure Rep.: Matt Bruce

Sample Information

DIME Sample ID: 2020-02-20-18
TL Number from the TL Form: C20-00002
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: 2/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 2/18/2020
The quantity of what the sample constitutes: 9 bags
A brief description of the sample: 3/8" PCC AGGREGATE
From where was the sample collected: Source
Laboratory sample identification: 9393
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ROBERTSON REDLANS - QUARRY

Material Information

Source Identification (SMARA or name of Pit): Unknown
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: 3/8 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-02-20-18-5
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Date Tested: 3/2/2020
Verified Date: 3/16/2020
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

Cleanness value (11/2 in. maximum aggregate mix): 91