DIME - Test Summary

Summary for Test 2021-06-15-32-4

Test performed: CTM 211-May 2010

Project Identifiers	Project ID: 215441 DEA: 021J5204 EFIS: 0220000087
DIST-CO-RTE-PM	02-MOD,SIS-139-34.0/50.7,0.0/5.0
Award Date	03/02/2021
Closeout Date	09/27/2021
Work Description	PLACE ASPHALT RUBBER BINDER CHIP SEAL & REPLACE AC SURFACING.
Location Description	MODOC AND SISKIYOU COUNTIES AT AND NEAR NEWELL FROM 3.3 MILES NORTH OF PEREZ OVERHEAD TO ROUTE 161
QA Service Level	1 (Verified on 02/01/2021)

Sample Taken Date	06/15/2021	Sample Unique Key	32
Date that the sample was received by the laboratory/organization performing the testing	06/16/2021	Sample type	Department Acceptance
A brief description of the sample	2 bags of Uncoated 3/8″ Aggregate for Use in ARB Chip Seal	The quantity of what the sample constitutes	One-half day to whole project
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	John
Last name of sampler or witnessed by	Carmichael	Title of sampler	Consultant
Telephone number of sampler		Laboratory sample identification	D78845
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Hat Creek Construction and Materials - Shaw Pit - Lookout, CA
Transportation Laboratory (TL) Number	990927	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)	91-25-0008::Shaw Pit
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Sampling Device at Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number		Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2021-06-15-32

DIME Test ID: 2021-06-15-32-4

Testing Lab: CT D02 - Redding Northern Regional Laboratory

Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine

Test Release Date: 2022-01-11

How many revolutions are required?: Both Tests

Input Type: Measured

Tester's full name: Terry McCormick

Date of test: 06/17/2021

Grading: C

Mass of sample: 4879 grams

Mass retained No. 4 sieve (100 Rev Test): 0 grams

Mass retained No. 12 sieve (100 Rev Test): 4735 grams

Mass retained No. 4 sieve (500 Rev Test): 0 grams

Mass retained No. 12 sieve (500 Rev Test): 4165 grams

Percent wear (100 Rev Test): 3 %

Percent wear (500 Rev Test): 15 %

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

Test was verified on 1/11/2022 ✔