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Testing Report for 2020-09-03-6-11

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

Project Information

DEA: 07215944
EFIS: 0700001834
Project ID: 7428
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-4.0/5.9
Work Description: RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location Description: LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jerome Arabe
Structure Rep.: Amare Tsegie

Sample Information

DIME Sample ID: 2020-09-03-6
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: 9/3/2020
Date that the sample was received by the laboratory/organization performing the testing: 9/4/2020
The quantity of what the sample constitutes: 4 Bags Coldfeed Agg., 2 Bags Rap
A brief description of the sample: PSUE 3/4" HMA-A R15 0.50% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0525A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials

Material Information

Source Identification (SMARA or name of Pit): 91-19-0035
The fabricator's/manufacturer's product name for the sample: 3/4 HMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 220805A IRW VAL
A detailed description of where the material sample was collected: Belt Cut at Vulcan Irwindale 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:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-09-03-6-11
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 9/8/2020
Verified Date: 9/17/2020
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

Number of tests: 2
Sand equivalent after temperature correction: 69