DIME - Test Summary

Summary for Test 2022-04-01-38-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Taken Date	04/01/2022	Sample Unique Key	38
Date that the sample was received by the laboratory/organization performing the testing	04/05/2022	Sample type	Quality Control
A brief description of the sample	Rock and Sand	The quantity of what the sample constitutes	1 Bag
From where was the sample collected	Source	First name of sampler or witnessed by	Goerge
Last name of sampler or witnessed by	Zacarias	Title of sampler	QC Field Technician
Telephone number of sampler	Unknown	Laboratory sample identification	Mix G3-15-STR-002
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	Security Florence
Transportation Laboratory (TL) Number	Unknown	Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown
Structure unique identifier	00-0000	Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-33-0027::CORONA QUARRY
The fabricator's/manufacturer's product name for the sample	Set 1	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Unknown
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	G3-15-STR-002	Lot number	1
Sublot number	1	Aggregate Mix Number	Not set

DIME Sample ID: 2022-04-01-38

DIME Test ID: 2022-04-01-38-1

Testing Lab: G3 Quality, Incorporated - Cerritos

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

Test Release Date: 2022-09-07

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: Manuel Ayon

Date of test: 04/05/2022

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

Test was verified on 9/7/2022 ✔