DIME - Test Summary

Summary for Test 2016-05-04-12-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209899 DEA: 07242304 EFIS: 0700000419 COOP: 075002
DIST-CO-RTE-PM	07-LA-101-31.6/32.2
Award Date	Not set
Closeout Date	08/13/2018
Work Description	Lost Hills Road Overcrossing Replacement and Interchange Modification
Location Description	FROM 0.3 MILES SOUTH OF LOST HILLS ROAD OVERCROSSING TO 0.3 MILES NORTH OF LOST HILLS ROAD OVERCROSSING.
QA Service Level	2 (Verified on 08/04/2014)

Sample Taken Date	05/04/2016	Sample Unique Key	12
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	05/13/2016
Sample type	Annual Source Testing	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	4 Bags	From where was the sample collected	Distributor
First name of sampler or witnessed by	Gary	Last name of sampler or witnessed by	Becker
Title of sampler	Technical Services Specialist	Telephone number of sampler	Unknown
Laboratory sample identification	6170B	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	National Ready Mix	Transportation Laboratory (TL) Number	C 16 01
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	Grimes Rock SMARA 91 56 0032
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	National Ready Mix Stockpiles
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2016-05-04-12

DIME Test ID: 2016-05-04-12-1

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: 2019-10-15

What size aggregate is being tested?: Fine 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: MD Shahjahan

Date of test: 06/06/2016

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

Test was verified on 10/15/2019 ✔