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Testing Report for 2020-07-02-12-7

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

Project Information

DEA: 080K2934
EFIS: 0812000100
Project ID: 213551
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-R36.8/R39.2
Work Description: PAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location Description: SAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ezz Gayed
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-07-02-12
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: 7/2/2020
Date that the sample was received by the laboratory/organization performing the testing: 7/3/2020
The quantity of what the sample constitutes: PSUE 6 Bags combined aggregate
A brief description of the sample: 3/4" RHMA-G-SP 0.50% LAS Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 0403G-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons - Cabazon, Cemex - Lytle Creek

Material Information

Source Identification (SMARA or name of Pit): 91-36-0008
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G-SP
The fabricator/manufacturer designation for the sample: Unknown
The plant number: CHP 68E
A detailed description of where the material sample was collected: Belt Cut at Matich Cabazon 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: 2020-07-02-12-7
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Date Tested: 7/8/2020
Verified Date: 7/10/2020
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

Method: B
Determination: By Mass
Dimensional ratio used: 5:1
Weighted percentage of particles (by mass) that were flat and elongated: 1 %
Weighted percentage of particles (by mass) that were not flat and elongated: 99 %