DIME - Test Summary

Summary for Test 2022-08-01-10-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 212085 DEA: 07296604 EFIS: 0713000057
DIST-CO-RTE-PM	07-LA-10-14.0/19.0
Award Date	06/04/2018
Closeout Date	05/04/2023
Work Description	PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK)
Location Description	IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE
QA Service Level	1 (Verified on 07/25/2018)

Sample Taken Date	08/01/2022	Sample Unique Key	10
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	08/01/2022
Sample type	Department Acceptance	A brief description of the sample	PCC Aggregate
The quantity of what the sample constitutes	3 Bags of Aggs	From where was the sample collected	Source
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler	TET	Telephone number of sampler	12137986076
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex Ready Mix - Inglewood	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)	91-36-0106
The fabricator's/manufacturer's product name for the sample	Cemex White Mtn Victorville	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number	1612109	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-08-01-10

DIME Test ID: 2022-08-01-10-1

Testing Lab: CT D07 - Plant Services

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2022-08-16

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: Avo Karajian

Date of test: 08/01/2022

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

Test was verified on 8/16/2022 ✔