DIME - Test Summary

Summary for Test 2022-01-13-7-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215042 DEA: 100TST04 EFIS: 1020999999
DIST-CO-RTE-PM	10-STA-5-26.1/27.0
Award Date	Not set
Closeout Date	Not set
Work Description	This is just a test EA, not tied to an actual project at all. Don't believe anything you read.
Location Description	Not set
QA Service Level	1 (Verified on 06/29/2020)

Sample Taken Date	01/13/2022	Sample Unique Key	7
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	01/13/2022
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregate
The quantity of what the sample constitutes	100 cy	From where was the sample collected	Other
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler	TET	Telephone number of sampler	213-798-6076
Laboratory sample identification	111111	Linked DIME Sample ID	2022-01-13-1
The fabricator/manufacturer/facility name	SECURITY PAVING - LA MIRADA	Transportation Laboratory (TL) Number	12345
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)	91-03-0011
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	123	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	G3-15-STR-006F	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-01-13-7

DIME Test ID: 2022-01-13-7-1

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-02-17

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: Avo Karajian

Date of test: 01/13/2022

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

Test was verified on 2/17/2022 ✔