DIME - Test Summary

Summary for Test 2022-03-17-55-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	03/17/2022	Sample Unique Key	55
Date that the sample was received by the laboratory/organization performing the testing	03/17/2022	Sample type	Aggregate Prequalification Program
A brief description of the sample	Cemex White Mountain 3x8	The quantity of what the sample constitutes	4 Bags
From where was the sample collected	Source	First name of sampler or witnessed by	Albert
Last name of sampler or witnessed by	Segura	Title of sampler	Quality Control Supervisor
Telephone number of sampler	9094368680	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Cemex White Mountain
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)	91-36-0106
The fabricator's/manufacturer's product name for the sample	Cemex White Mountain 3x8	The fabricator/manufacturer designation for the sample	3x8
The plant number	4423	A detailed description of where the material sample was collected	Stockpile
Where the material sample would have been placed if not sampled	Ready Mix Concrete	Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-03-17-55

DIME Test ID: 2022-03-17-55-1

Testing Lab: CEMEX - Central & Southern California

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

Test Release Date: 2022-04-06

What size aggregate is being tested?: 0.375 in x No. 8 - 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: Albert Marc Segura

Date of test: 03/30/2022

General comments (publicly viewable) (Max 1000 characters): Testing Conducted @ Twining Labs Long Beach

Test was verified on 4/6/2022 ✔