DIME - Test Summary

Summary for Test 2021-09-20-16-4

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166
DIST-CO-RTE-PM	05-SB-101-7.3/9.6
Award Date	10/22/2020
Closeout Date	12/11/2023
Work Description	!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location Description	SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level	1 (Verified on 08/24/2020)

Sample Taken Date	09/20/2021	Sample Unique Key	16
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	09/20/2021
Sample type	Quality Control	A brief description of the sample	1", 3/8" and sand
The quantity of what the sample constitutes	3 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	725A1Z0P	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-09-20-16

DIME Test ID: 2021-09-20-16-4

Testing Lab: Sequoia Consultants

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

Test Release Date: 2021-09-23

What size aggregate is being tested?: 1 in. x No. 4 - Coarse 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: Javier Grijalva

Date of test: 09/20/2021

Cumulative percent passing the 1 1/2 in. sieve: 100 %

Cumulative percent passing the 1 in. sieve: 100 %

Cumulative percent passing the 3/4 in. sieve: 95 %

Cumulative percent passing the 1/2 in. sieve: 62 %

Cumulative percent passing the 3/8 in. sieve: 28 %

Cumulative percent passing the #4 sieve: 5 %

Cumulative percent passing the #8 sieve: 2 %

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

Test was verified on 9/23/2021 ✔