DIME - Test Summary

Summary for Test 2021-02-12-10-1

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166
DIST-CO-RTE-PM	05-SB-101-7.3/9.6
Award Date	10/22/2020
Closeout Date	12/11/2023
Work Description	!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location Description	SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level	1 (Verified on 08/24/2020)

Sample Taken Date	02/12/2021	Sample Unique Key	10
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	02/12/2021
Sample type	Quality Control	A brief description of the sample	1x4 concrete aggregates
The quantity of what the sample constitutes	100 cy	From where was the sample collected	Job Site
First name of sampler or witnessed by	Scott	Last name of sampler or witnessed by	Powell
Title of sampler	QC Technician	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hanson Goleta	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name	Evans Bridge Bent 2 and 3 Footings

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-40-0003
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	belt cut
Where the material sample would have been placed if not sampled	Evans Bridge Bent 2 and 3 Footings	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	725A1M0P	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-02-12-10

DIME Test ID: 2021-02-12-10-1

Testing Lab: Sequoia Consultants

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2021-02-23

Number of tests: 2

Input Type: Calculated

Tester's full name: Leo Santamaria

Date of test: 02/13/2021

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 5.3

Sand reading (test 1): 4.1

Clay reading (test 2): 5.3

Sand reading (test 2): 4.1

Sand equivalent (test 1): 78

Sand equivalent (test 2): 78

Sand equivalent before temperature correction: 78

Sand equivalent after temperature correction: 78

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

Test was verified on 2/23/2021 ✔