DIME - Test Summary

Summary for Test 2022-01-25-58-3

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 214573 DEA: 073096U4 EFIS: 0719000091
DIST-CO-RTE-PM	07-LA-210-R0.0/R9.7
Award Date	04/03/2020
Closeout Date	06/06/2024
Work Description	PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 06/05/2020)

Sample Taken Date	01/25/2022	Sample Unique Key	58
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	01/29/2022
Sample type	Quality Assurance	A brief description of the sample	CMB
The quantity of what the sample constitutes	100 cys	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Gerardo	Last name of sampler or witnessed by	Zubieta
Title of sampler	Transportation Engineer	Telephone number of sampler
Laboratory sample identification	5728	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Flat Iron Portable @ 210 & Paxton	Transportation Laboratory (TL) Number	C-924042
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)	Flat Iron Base
The fabricator's/manufacturer's product name for the sample	LCB	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Conveyor Belt at Plant
Where the material sample would have been placed if not sampled	LCB	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	3215-03	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-01-25-58

DIME Test ID: 2022-01-25-58-3

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-04-15

Number of tests: 2

Input Type: Measured

Tester's full name: Gerardo Zubieta

Date of test: 01/25/2022

Temperature correction: 0

Temperature of solution: 71

Clay reading (test 1): 6.2

Sand reading (test 1): 3.5

Clay reading (test 2): 6.4

Sand reading (test 2): 3.6

Sand equivalent (test 1): 57

Sand equivalent (test 2): 57

Sand equivalent before temperature correction: 57

Sand equivalent after temperature correction: 57

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

Test was verified on 4/15/2022 ✔