DIME - Test Summary

Summary for Test 2021-09-09-29-2

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 214756 DEA: 050N7AU4 EFIS: 0520000030
DIST-CO-RTE-PM	05-SB-101-1.4/4.8
Award Date	Not set
Closeout Date	09/27/2022
Work Description	Segment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location Description	CARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
QA Service Level	1 (Verified on 03/09/2020)

Sample Taken Date	09/09/2021	Sample Unique Key	29
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	09/09/2021
Sample type	Quality Control	A brief description of the sample	1" and sand
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Source
First name of sampler or witnessed by	Tim	Last name of sampler or witnessed by	Reyes
Title of sampler		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

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-42-0003
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	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	63511N0P	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-09-09-29

DIME Test ID: 2021-09-09-29-2

Testing Lab: Sequoia Consultants

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

Test Release Date: 2021-09-23

Number of tests: 2

Input Type: Calculated

Tester's full name: Tim Reyes

Date of test: 09/13/2021

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 4.3

Sand reading (test 1): 3.9

Clay reading (test 2): 5

Sand reading (test 2): 4.4

Sand equivalent (test 1): 91

Sand equivalent (test 2): 88

Sand equivalent before temperature correction: 90

Sand equivalent after temperature correction: 90

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

Test was verified on 9/23/2021 ✔