DIME - Test Summary

Summary for Test 2022-06-24-40-2

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 215664 DEA: 070W0304 EFIS: 0720000257
DIST-CO-RTE-PM	07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1
Award Date	05/21/2021
Closeout Date	10/02/2023
Work Description	REPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING.
Location Description	VENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE
QA Service Level	1 (Verified on 09/27/2021)

Sample Taken Date	06/24/2022	Sample Unique Key	40
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	06/24/2022
Sample type	Department Acceptance	A brief description of the sample	Type I Slurry Aggregate
The quantity of what the sample constitutes	25 tons	From where was the sample collected	Job Site
First name of sampler or witnessed by	Kevin	Last name of sampler or witnessed by	Hopkins
Title of sampler	Plant Inspector	Telephone number of sampler	213-792-4793
Laboratory sample identification	KH205E	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Pavement Coatings Co	Transportation Laboratory (TL) Number	C062422A
Inspector Lot Number from the Transportation Laboratory (TL) Form	KH205E	Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0052
The fabricator's/manufacturer's product name for the sample	Type 1 Slurry Seal	The fabricator/manufacturer designation for the sample	Pavement Coatings Co
The plant number	Pavement Coatings Co	A detailed description of where the material sample was collected	Stockpile @ Yard
Where the material sample would have been placed if not sampled	Jobsite	Primary Aggregate Nominal Size	fine
The concrete mix design number	Type 1 Slurry Seal	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-06-24-40

DIME Test ID: 2022-06-24-40-2

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-07-08

Number of tests: 3

Input Type: Measured

Tester's full name: Kevin Hopkins

Date of test: 06/27/2022

Temperature correction: 0

Temperature of solution: 75

Clay reading (test 1): 58

Sand reading (test 1): 41

Clay reading (test 2): 59

Sand reading (test 2): 42

Clay reading (test 3): 59

Sand reading (test 3): 41

Sand equivalent (test 1): 71

Sand equivalent (test 2): 72

Sand equivalent (test 3): 70

Sand equivalent before temperature correction: 71

Sand equivalent after temperature correction: 71

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

Test was verified on 7/8/2022 ✔