DIME - Test Summary

Summary for Test 2016-06-17-17-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663
DIST-CO-RTE-PM	07-LA-710-6.0-9.4
Award Date	09/02/2011
Closeout Date	Not set
Work Description	Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description	Port of Long Beach (District 7)
QA Service Level	1 (Verified on 06/03/2013)

Sample Taken Date	06/17/2016	Sample Unique Key	17
Date that the sample was received by the laboratory/organization performing the testing	05/17/2016	Sample type	Annual Source Testing
A brief description of the sample	Three eighths inch PCC Aggregates	The quantity of what the sample constitutes	6 Bags
From where was the sample collected	Source	First name of sampler or witnessed by	Osvaldo
Last name of sampler or witnessed by	Guzman	Title of sampler	QC Tech
Telephone number of sampler	Unknown	Laboratory sample identification	6177B
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	Vulcan Reliance
Transportation Laboratory (TL) Number	C-16-107	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 19 0016
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	3/8 inch
The concrete mix design number	Unknown	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2016-06-17-17

DIME Test ID: 2016-06-17-17-1

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?: 0.375 in x No. 8 - 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 Mendez

Date of test: 06/07/2016

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

Test was verified on 10/15/2019 ✔