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Testing Report for 2020-09-24-5-3

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

Project Information

DEA: 081C38U4
EFIS: 0817000196
Project ID: 213707
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Elvira Lenart
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-24-5
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: 9/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 9/25/2020
The quantity of what the sample constitutes: 3 Bags Agg., 3 Bags Rap 1 Bag Mineral Filler
A brief description of the sample: JMF 3/8" HMA-A-SP R15 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0555A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Coachella

Material Information

Source Identification (SMARA or name of Pit): 91-33-0084
The fabricator's/manufacturer's product name for the sample: 3/8 HMA-A-SP
The fabricator/manufacturer designation for the sample:
The plant number: 43891193
A detailed description of where the material sample was collected: Belt Cut at California Commercial Asphalt Coachella 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: 2020-09-24-5-3
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)
Date Tested: 10/2/2020
Verified Date: 10/12/2020
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: 2.623
Absorption: 1 %