DIME - Test Summary

Summary for Test 2022-06-01-13-9

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993222 DEA: 081G5204 EFIS: 0816000020
DIST-CO-RTE-PM	08-SBD-18-100.9/115.9
Award Date	10/28/2021
Closeout Date	07/27/2023
Work Description	COLD PLANE AC PAVEMENT & PLACE HMA AND MINOR CONCRETE.
Location Description	SAN BERNARDINO COUNTY IN AND NEAR ADELANTO FROM LOS ANGELES COUNTY LINE TO ROUTE 395
QA Service Level	1 (Verified on 10/04/2021)

Sample Taken Date	06/01/2022	Sample Unique Key	13
Date that the sample was received by the laboratory/organization performing the testing	06/03/2022	Sample type	Verification
A brief description of the sample	PSUE 1/2" HMA-A R25 0.6% Evo	The quantity of what the sample constitutes	4 Bags Combined Agg., 2 Bags Rap
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Zacariah
Last name of sampler or witnessed by	Roush	Title of sampler
Telephone number of sampler		Laboratory sample identification	0329A-22
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Blue Diamond Materials-Victorville
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)	91-36-0046,91-36-0106
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	300215 R25	A detailed description of where the material sample was collected	Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-06-01-13

DIME Test ID: 2022-06-01-13-9

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: 2022-07-19

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: Seige M

Date of test: 06/08/2022

General comments (publicly viewable) (Max 1000 characters): Rap Gradation After Ignition

Test was verified on 7/19/2022 ✔