DIME - Test Summary

Summary for Test 2016-06-30-13-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209139 DEA: 071170U4 EFIS: 0700000085
DIST-CO-RTE-PM	07-LA-10-33.2/37.2
Award Date	02/10/2014
Closeout Date	03/01/2022
Work Description	CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description	LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level	1 (Verified on 05/06/2014)

Sample Taken Date	06/30/2016	Sample Unique Key	13
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	07/05/2016
Sample type	Annual Source Testing	A brief description of the sample	One inch PCC Aggregate
The quantity of what the sample constitutes	4 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Chris	Last name of sampler or witnessed by	Hindmand
Title of sampler	QC Technician	Telephone number of sampler	Unknown
Laboratory sample identification	6276B	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Robertsons Harlow Quarry	Transportation Laboratory (TL) Number	C 16000006
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)	SMARA 91 33 0061
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	Stockpiles
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2016-06-30-13

DIME Test ID: 2016-06-30-13-1

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: 2019-08-22

What size aggregate is being tested?: 1 in. x No. 4 - Coarse 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: Jose Guzman

Date of test: 07/11/2016

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

Test was verified on 8/22/2019 ✔