DIME - Test Summary

Summary for Test 2021-05-14-32-4

Test performed: CTM 229-June 2011

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	05/14/2021	Sample Unique Key	32
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	05/17/2021
Sample type	Department Acceptance	A brief description of the sample	3/8″ Chips for Use in ARB Chip Seal
The quantity of what the sample constitutes	Half-Day to Whole Project	From where was the sample collected	Source
First name of sampler or witnessed by	Danny	Last name of sampler or witnessed by	Hansen
Title of sampler		Telephone number of sampler
Laboratory sample identification	D78797	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hat Creek Construction and Materials - Shaw Pit - Lookout, CA	Transportation Laboratory (TL) Number	897293
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
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	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-05-14-32

DIME Test ID: 2021-05-14-32-4

Testing Lab: CT D02 - Redding Northern Regional Laboratory

Test Method: CTM 229-June 2011: Method of Test for Durability Index

Test Release Date: 2021-07-22

What test(s) are being run?: Coarse durability only

Input Type: Measured

Tester's full name: Terry McCormick

Date of test: 05/19/2021

Sediment reading for coarse durability index: 11.0

Coarse durability index: 73

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

Test was verified on 7/22/2021 ✔