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Testing Report for 2020-04-02-9-5

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

Project Information

DEA: 08347704
EFIS: 0800000616
Project ID: 209695
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Shaine Shahidi
Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2020-04-02-9
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 4/2/2020
Date that the sample was received by the laboratory/organization performing the testing: 4/8/2020
The quantity of what the sample constitutes: JMF 15 Bags
A brief description of the sample: 3/4 HMA-A-SP R15 Aggregate/RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0190A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials-Victorville

Material Information

Source Identification (SMARA or name of Pit): 91-36-0106::WHITE MOUNTAIN QUARRY
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: Unknown
The plant number: 300154 LSM
A detailed description of where the material sample was collected: Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-04-02-9-5
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Date Tested: 4/14/2020
Verified Date: 5/6/2020
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

Grading designation: B
Mass of sample on No.12 sieve (after 500 revolutions): 3862 grams
Percent loss after 100 revolutions: 5 %
Percent loss after 500 revolutions: 23 %