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Testing Report for 2020-06-09-12-3

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

Project Information

DEA: 073096U4
EFIS: 0719000091
Project ID: 214573
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R9.7
Work Description: PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ridwan Salman
Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2020-06-09-12
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: 6/9/2020
Date that the sample was received by the laboratory/organization performing the testing: 6/16/2020
The quantity of what the sample constitutes: 8 bags of Agg. & 2 bags of Rap
A brief description of the sample: 3/4" HMA-A-SP R15 0.50% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0338A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sun Valley

Material Information

Source Identification (SMARA or name of Pit): 91-19-0017-, 91-19-0019, 91-19-0021
The fabricator's/manufacturer's product name for the sample: 1/2 HMA-A-SP R15
The fabricator/manufacturer designation for the sample: Unknown
The plant number: 320914 SVA LTR
A detailed description of where the material sample was collected: Belt cut of Coarse and Fine Aggregate at Source
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-06-09-12-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 6/19/2020
Verified Date: 6/26/2020
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

Basis for relative density testing: Bulk
Specific Gravity: 2.668
Absorption: 0.8 %