DIME - Test Summary

Summary for Test 2022-01-10-26-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214993 DEA: 051F5004 EFIS: 0514000003
DIST-CO-RTE-PM	05-SB-101,135-70.6/71.2;0.1
Award Date	11/17/2020
Closeout Date	01/11/2024
Work Description	CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location Description	SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
QA Service Level	1 (Verified on 09/03/2020)

Sample Taken Date	01/10/2022	Sample Unique Key	26
Date that the sample was received by the laboratory/organization performing the testing	01/10/2022	Sample type	Department Acceptance
A brief description of the sample	3/4" Class 2 AB	The quantity of what the sample constitutes	1 days placement
From where was the sample collected	Source	First name of sampler or witnessed by	Salvador
Last name of sampler or witnessed by	Lopez-Zamora	Title of sampler	ARET
Telephone number of sampler	8057483854	Laboratory sample identification	334
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Calportland-Garey
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)	91-42-0014
The fabricator's/manufacturer's product name for the sample	Class 2 aggregate base	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	300 LFT approach and departure center median.
Where the material sample would have been placed if not sampled	center median	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-01-10-26

DIME Test ID: 2022-01-10-26-1

Testing Lab: CT D05 - Santa Maria Field Laboratory

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

Test Release Date: 2022-01-25

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: Salvador Lopez-Zamora

Date of test: 01/10/2022

General comments (publicly viewable) (Max 1000 characters): Sample complies.

Test was verified on 1/25/2022 ✔