DIME - Test Summary

Summary for Test 2022-04-15-6-3

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	04/15/2022	Sample Unique Key	6
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	04/15/2022
Sample type	Quality Assurance	A brief description of the sample	PCC Aggregate
The quantity of what the sample constitutes	30 CY	From where was the sample collected	Source
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Associated Ready Mix - Sun Valley	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)	91-19-0054
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	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number	557237	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-04-15-6

DIME Test ID: 2022-04-15-6-3

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-04-18

Number of tests: 2

Input Type: Measured

Tester's full name: Avo Karajian

Date of test: 04/15/2022

Temperature correction: 0

Temperature of solution: 75

Clay reading (test 1): 4.6

Sand reading (test 1): 4

Clay reading (test 2): 4.6

Sand reading (test 2): 4

Sand equivalent (test 1): 87

Sand equivalent (test 2): 87

Sand equivalent before temperature correction: 87

Sand equivalent after temperature correction: 87

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Test was verified on 4/18/2022 ✔