DIME - Test Summary

Summary for Test 2021-05-12-57-6

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215221 DEA: 07332604 EFIS: 0716000287
DIST-CO-RTE-PM	07-LA-10-R12.4/14.9
Award Date	12/16/2020
Closeout Date	11/25/2024
Work Description	REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location Description	THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
QA Service Level	1 (Verified on 03/19/2021)

Sample Taken Date	05/12/2021	Sample Unique Key	57
Date that the sample was received by the laboratory/organization performing the testing	06/14/2021	Sample type	Annual Source Testing
A brief description of the sample	Washed Concrete Sand	The quantity of what the sample constitutes	1 Bag
From where was the sample collected	Source	First name of sampler or witnessed by	Chris
Last name of sampler or witnessed by	Hindman	Title of sampler	QC Representative
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Robertsons - Cabazon
Transportation Laboratory (TL) Number	4044	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-33-0008::CABAZON QUARRY
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	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-05-12-57

DIME Test ID: 2021-05-12-57-6

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2021-06-02

What size aggregate is being tested?: Fine Aggregate

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

For Combined Gradation only, has the fine aggregate sample been reduced?: No

For Combined Gradation only, use #40 Sieve?: No

Input Type: Calculated

Tester's full name: Larry Diaz

Date of test: 05/21/2021

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

Test was verified on 6/2/2021 ✔