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Testing Report for 2019-12-16-27-2

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

Project Information

Project ID: 213689 DEA: 07312504 EFIS: 0715000065 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-R82.5/R86.8
Work Description: CONSTRUCT STORM WATER TREAMENT BMPS AND DRAINAGE SYSTEM
Location Description: LOS ANGELES COUNTY IN AND NEAR GORMAN AT VARIOUS LOCATIONS FROM 0.4 MILE NORTH OF ROUTE 5/138 SEPARATION TO 0.6 MILE SOUTH OF TEJON PASS OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Oscar Osorio Structure Rep.: Aziz Maghsoudloo

Sample Information

DIME Sample ID: 2019-12-16-27
TL Number from the TL Form: C914341
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: 12/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2019
The quantity of what the sample constitutes: 1 bags
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Manufacturer
Laboratory sample identification: 9059
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons - Palmdale

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: RRM 19026
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2019-12-16-27-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 03/20/2020
Date Tested: 12/30/2019
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

Number of tests 2
Sand equivalent after temperature correction 80