Summary for Test 2021-03-31-11-2

Test performed: CTM 205-December 2010

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date03/31/2021 Sample Unique Key11
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/08/2021
Sample typeVerification A brief description of the samplePSUE JMF 3/4" HMA-A R15
The quantity of what the sample constitutes4 Bags of Coldfeed, 2 Bags of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Irwindale Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0201A-21 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Irwindale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035::FISH CANYON QUARRY
The fabricator's/manufacturer's product name for the sample3/4 HMA-A-SP R15 The fabricator/manufacturer designation for the sample
The plant number220805A IRW VLO A detailed description of where the material sample was collectedBelt Cut at Vulcan Irwindale Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2021-03-31-11
DIME Test ID: 2021-03-31-11-2
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles
Test Release Date: 2021-04-15

Test Results


Will you be using 1/4 in. x No. 4 sieve?: No
Input Type: Calculated
Tester's full name: Michael Magana
Date of test: 04/14/2021
Percent Coarse Crushed: 100 %
Percent Fine Crushed: 100 %
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/15/2021