DIME - Test Summary

Summary for Test 2021-10-20-35-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215349 DEA: 081C0824 EFIS: 0816000087
DIST-CO-RTE-PM	08-RIV-10-R104.9/R134.2
Award Date	03/24/2021
Closeout Date	01/06/2025
Work Description	PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location Description	RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
QA Service Level	1 (Verified on 03/01/2021)

Sample Taken Date	10/20/2021	Sample Unique Key	35
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	10/21/2021
Sample type	Quality Control	A brief description of the sample	Eagle Mountain Aggregate Base Type 2
The quantity of what the sample constitutes	500 cubic yards	From where was the sample collected	Job Site
First name of sampler or witnessed by	Sony	Last name of sampler or witnessed by	Pheng
Title of sampler	QC Tester	Telephone number of sampler	909-676-2447
Laboratory sample identification	20211021-01	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Eagle Mountain Mine	Transportation Laboratory (TL) Number
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)	Eagle Mountain
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	Windrow in the field.
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-10-20-35

DIME Test ID: 2021-10-20-35-1

Testing Lab: Fisher Sand & Gravel

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

Test Release Date: 2021-10-28

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

Individual or cumulative mass retained on each sieve?: Individual 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: Sony Pheng

Date of test: 10/21/2021

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

Test was verified on 10/28/2021 ✔