DIME - Test Summary

Summary for Test 2022-04-22-43-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214663 DEA: 081F7304 EFIS: 0815000034
DIST-CO-RTE-PM	08-SBD-215-2.7
Award Date	Not set
Closeout Date	Not set
Work Description	REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location Description	SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level	1 (Verified on 02/24/2021)

Sample Taken Date	04/22/2022	Sample Unique Key	43
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	04/25/2022
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	Job Site
First name of sampler or witnessed by	Erik	Last name of sampler or witnessed by	Villalba
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Mix 1611614	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jobsite	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	00-0000
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-36-0040
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	3/8 inch
The concrete mix design number	1611614	Lot number	1
Sublot number	1	Aggregate Mix Number	Not set

DIME Sample ID: 2022-04-22-43

DIME Test ID: 2022-04-22-43-1

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: 2022-09-21

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: Mario Salazar

Date of test: 04/25/2022

Cumulative percent passing the 1/2 in. sieve: 100 %

Cumulative percent passing the 3/8 in. sieve: 84 %

Cumulative percent passing the #4 sieve: 10 %

Cumulative percent passing the #8 sieve: 3 %

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

Test was verified on 9/21/2022 ✔