Test 2019-12-12-21-4 (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 Date12/12/2019 Sample Unique Key21
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 testing12/16/2019
Sample typeVerification A brief description of the sample3/4 HMA-A R10
The quantity of what the sample constitutesJMF 12 Bags, 1 Can From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Sun Valley Last name of sampler or witnessed byQC
Title of sampler Laboratory sample identification0722A-19
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)91-19-0019, 91-19-0021
The fabricator's/manufacturer's product name for the sample3/4 HMA-A R10 The fabricator/manufacturer designation for the sample220805 SVA VLO
The plant numberUnknown 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 sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown JMF Verification ID
Test Details
DIME Sample ID: 2019-12-12-21
DIME Test ID: 2019-12-12-21-4
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: 2020-03-17
Test Results

Input Type: Measured
Tester's full name: Friday Ofoebgu
Date of test: 12/21/2019
Mass of Flask: 154.3 grams
Mass of Sand (SSD): 500 grams
Mass of Sand (OD): 494 grams
Mass of Flask + Water + Sand: 965.8 grams
Mass of Water: 311.5 grams
Sand Volume: 188.5 cm^3
% Absorption:1.2 %
Specific Gravity:2.65
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Test was verified on 03/17/2020