Summary for Test 2019-12-12-21-2
Test performed: CTM 205-December 2010Project Information
| Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
| Award Date | 11/29/2012 |
| Closeout Date | 07/31/2023 |
| Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
| Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
| Sample Taken Date | 12/12/2019 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 testing | 12/16/2019 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-A R10 |
| The quantity of what the sample constitutes | JMF 12 Bags, 1 Can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan Sun Valley | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0722A-19 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Sun Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0019, 91-19-0021 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA-A R10 | The fabricator/manufacturer designation for the sample | 220805 SVA VLO |
| The plant number | Unknown | A detailed description of where the material sample was collected | Belt Cut at Vulcan Sun Valley Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2019-12-12-21
DIME Test ID: 2019-12-12-21-2
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: 2020-03-17
Test Results
Will you be using 1/4 in. x No. 4 sieve?: No
Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 12/24/2019
Percent Coarse Crushed: 98 %
Percent Fine Crushed: 100 %
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/17/2020 ✔