Test 2021-05-19-28-4 (CTM 207-March 2012) Summary

Project Information
Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
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
Sample Information
Sample Taken Date5/19/2021 Sample Unique Key28
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 testing5/26/2021
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A R10, 0.5% LAS
The quantity of what the sample constitutes10 Bags of Aggregate, 2 Bags of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byThomas Last name of sampler or witnessed byShivers
Title of sampler Laboratory sample identification0298A-21
The fabricator/manufacturer/facility nameVulcan - Sun Valley 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 or name of Pit)91-19-0035
The fabricator's/manufacturer's product name for the sample3/4 HMA-A R10 The fabricator/manufacturer designation for the sample
The plant number220805 SVA VLO A detailed description of where the material sample was collectedBelt Cut at Vulcan Sun Valley 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 JMF Verification ID
Test Details
DIME Sample ID: 2021-05-19-28
DIME Test ID: 2021-05-19-28-4
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate
Test Release Date: 2021-06-08
Test Results

Input Type: Measured
Tester's full name: Danilo Ferrer
Date of test: 05/27/2021
Mass of Flask: 153.3 grams
Mass of Sand (SSD): 500 grams
Mass of Sand (OD): 494.4 grams
Mass of Flask + Water + Sand: 967.1 grams
Mass of Water: 313.8 grams
Sand Volume: 186.2 cm^3
% Absorption:1.1 %
Specific Gravity:2.69
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Test was verified on 06/08/2021