DIME - Test Summary

Summary for Test 2021-04-16-36-9

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	04/16/2021	Sample Unique Key	36
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	04/28/2021
Sample type	Aggregate Prequalification Program	A brief description of the sample	Coarse PCC Aggregate
The quantity of what the sample constitutes	2 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Marc	Last name of sampler or witnessed by	Segura
Title of sampler	QC Supervisor	Telephone number of sampler	9094368680
Laboratory sample identification		Linked DIME Sample ID	2021-04-16-31
The fabricator/manufacturer/facility name	Cemex Moorpark	Transportation Laboratory (TL) Number	3912
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)	91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	4425	A detailed description of where the material sample was collected	Production stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-04-16-36

DIME Test ID: 2021-04-16-36-9

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate

Test Release Date: 2021-05-26

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Nader Rashidi-Ghader

Date of test: 05/24/2021

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data

Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data

Percentage Loss of material retained on 1 x ¾ in. sieve: no data

Percentage Loss of material retained on ¾ x ½ in. sieve: no data

Percentage Loss of material retained on ½ x ⅜ in. sieve: no data

Percentage Loss of material retained on ⅜ in. x #4 sieve: no data

Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data

Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data

Percentage Loss of material retained on 3/4 in. through #4 sieve: no data

Weighted Average Percent Loss of Coarse Aggregate: 0.6 %

Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum): no data

Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum): no data

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

Test was verified on 5/26/2021 ✔