DIME - Test Summary

Summary for Test 2022-04-07-2-1

Test performed: CTM 202-November 2011

Sample Taken Date	04/07/2022	Sample Unique Key	2
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	04/07/2022
Sample type	Quality Assurance	A brief description of the sample	Imported Structure Backfill
The quantity of what the sample constitutes	50 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Brandon	Last name of sampler or witnessed by	Wood
Title of sampler	TET	Telephone number of sampler	805-610-2729
Laboratory sample identification	37000220407SBfillGrad1	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Sierra Pacific - Avenal	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Soil	The fabricator's/manufacturer's product name for the sample	Fill Sand
The fabricator/manufacturer designation for the sample		A detailed description of where the material sample was collected	Stockpile at Jobsite
Where the material sample would have been placed if not sampled

DIME Sample ID: 2022-04-07-2

DIME Test ID: 2022-04-07-2-1

Testing Lab: CT D05 - Whitley Gardens Field Laboratory

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

Test Release Date: 2022-04-07

What size aggregate is being tested?: Combined Gradation

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: Brandon Wood

Date of test: 04/07/2022

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

Test was verified on 4/7/2022 ✔