DIME - Test Summary

Summary for Test 2022-04-07-19-10

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215634 DEA: 074W8004 EFIS: 0719000298
DIST-CO-RTE-PM	07-VEN-33,101,118-Var
Award Date	05/21/2021
Closeout Date	12/01/2023
Work Description	FURNISH AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE DECK.
Location Description	VENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 08/02/2021)

Sample Taken Date	04/07/2022	Sample Unique Key	19
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	04/11/2022
Sample type	Verification	A brief description of the sample	PSUE 3/4" HMA-A-SP R15 0.5% LAS
The quantity of what the sample constitutes	10 Bags Of agg., 2 Bags Rap	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	G	Last name of sampler or witnessed by	Zubieta
Title of sampler		Telephone number of sampler
Laboratory sample identification	0222A-22	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vulcan Materials- Sun Valley	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)	91-19-0035
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	220831 SVA SJR	A detailed description of where the material sample was collected	Belt Cut at Vulcan Sun Valley Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-04-07-19

DIME Test ID: 2022-04-07-19-10

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2022-05-06

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: Satish Jain

Date of test: 04/15/2022

General comments (publicly viewable) (Max 1000 characters): Combined Aggregate Gradation W/Rap Gradation Correlation Factors

Test was verified on 5/6/2022 ✔