DIME - Test Summary

Summary for Test 2019-08-01-3-1

Test performed: AASHTO T27-14

Project Identifiers	Project ID: 214122 DEA: 081G1204
DIST-CO-RTE-PM	08-RIV-243-13.3/29.7
Award Date	06/12/2019
Closeout Date	03/25/2020
Work Description	COLD PLANE AC, PLACE RHMA-G AND RECESSED THERMOPLASTIC TRAFFIC STRIPE.
Location Description	RIVERSIDE COUNTY IN AND NEAR BANNING FROM 0.7 MILE NORTH OF BLACK MOUNTAIN TRAIL TO ROUTE 243/10 SEPARATION
QA Service Level	1 (Verified on 03/25/2020)

Sample Taken Date	08/01/2019	Sample Unique Key	3
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	08/02/2019
Sample type	Verification	A brief description of the sample	3/4 RHMA-G-SP
The quantity of what the sample constitutes	JMF 6 bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Matich Cabazon	Last name of sampler or witnessed by	QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0457G-19	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertsons Cabazon, Cemex Lytle Creek	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-33-0008, 91-36-0040
The fabricator's/manufacturer's product name for the sample	3/4 RHMA-G-SP	The fabricator/manufacturer designation for the sample	CHP-68E
The plant number	Unknown	A detailed description of where the material sample was collected	Belt Cut at Matich Cabazon 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

DIME Sample ID: 2019-08-01-3

DIME Test ID: 2019-08-01-3-1

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Test Release Date: 2019-08-22

What type of gradation is being tested?: HMA Gradation

Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained

Does this test use 1/4 sieve? (question for HMA Gradation Type): Yes

Has the fine aggregate sample been reduced?: No

Input Type: Calculated

Tester's full name: Sebastian Ferrer, Husni Ankir

Date of test: 08/05/2019

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 8/22/2019 ✔