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Testing Report for 2019-12-19-28-3

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

Project Information

DEA: 072159U4
EFIS: 0715000160
Project ID: 211260
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: George Saker
Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2019-12-19-28
TL Number from the TL Form: CTNT1
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: 12/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2019
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Distributor
Laboratory sample identification: 9048
Structure unique identifier: 00-0000
Structure name:
The fabricator/manufacturer/facility name: Unknown

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: fine
The concrete mix design number: G3-19-PCC-001
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-12-19-28-3
Test Method: CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying
Date Tested: 1/3/2020
Verified Date: 3/19/2020
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: 4.7000000000 %