DIME - Test Summary

Summary for Test 2022-03-23-18-5

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 214355 DEA: 120K0214 EFIS: 1214000096
DIST-CO-RTE-PM	12-ORA-5-12.4/14.5
Award Date	12/20/2019
Closeout Date	Not set
Work Description	South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. \| Add one lane btwn 73 & Oso PKWY
Location Description	ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
QA Service Level	1 (Verified on 10/31/2019)

Sample Taken Date	03/23/2022	Sample Unique Key	18
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	03/23/2022
Sample type	Quality Control	A brief description of the sample	Concrete Aggregates
The quantity of what the sample constitutes	1 per 100 cy	From where was the sample collected	Source
First name of sampler or witnessed by	Alvin	Last name of sampler or witnessed by	Perlas
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex - San Juan Capistrano	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)	91-36-0040
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	At the plant
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: 2022-03-23-18

DIME Test ID: 2022-03-23-18-5

Testing Lab: Sequoia Consultants

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

Test Release Date: 2022-03-28

Number of tests: 2

Input Type: Calculated

Tester's full name: Larry Fukushima

Date of test: 03/24/2022

Temperature correction: 0

Temperature of solution: 73

Clay reading (test 1): 5.4

Sand reading (test 1): 4.6

Clay reading (test 2): 5.5

Sand reading (test 2): 4.8

Sand equivalent (test 1): 86

Sand equivalent (test 2): 88

Sand equivalent before temperature correction: 87

Sand equivalent after temperature correction: 87

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

Test was verified on 3/28/2022 ✔