DIME - Test Summary

Summary for Test 2022-08-16-59-4

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 993162 DEA: 07319104 EFIS: 0716000017
DIST-CO-RTE-PM	07-LA-91-R11.8
Award Date	02/10/2022
Closeout Date	01/11/2024
Work Description	ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP.
Location Description	LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR
QA Service Level	1 (Verified on 11/30/2021)

Sample Taken Date	08/16/2022	Sample Unique Key	59
Date that the sample was received by the laboratory/organization performing the testing	09/23/2022	Sample type	Department Acceptance
A brief description of the sample	1 x 4 PCC Aggregate and Sand	The quantity of what the sample constitutes	100 cys
From where was the sample collected	Fabricator	First name of sampler or witnessed by	Gerry
Last name of sampler or witnessed by	Zubieta	Title of sampler	TRANSPORTATION ENGINEER CIVIL
Telephone number of sampler		Laboratory sample identification	7571
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Short Load Concrete 60/15 freeway Portable
Transportation Laboratory (TL) Number	C-924246	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)	91-33-0027
The fabricator's/manufacturer's product name for the sample	PCC SLAB	The fabricator/manufacturer designation for the sample	Portable Plant
The plant number		A detailed description of where the material sample was collected	Conveyor Belt feeding weight hopper at the Plant
Where the material sample would have been placed if not sampled	PCC SLAB	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	G3-19-PCC-172	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-08-16-59

DIME Test ID: 2022-08-16-59-4

Testing Lab: CT D07 - Plant Services, Unit 1841

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2022-09-23

Number of tests: 2

Input Type: Calculated

Tester's full name: Gerardo Zubieta

Date of test: 08/16/2022

Temperature correction: 0

Temperature of solution: 75

Clay reading (test 1): 4.9

Sand reading (test 1): 4.4

Clay reading (test 2): 4.9

Sand reading (test 2): 4.4

Sand equivalent (test 1): 90

Sand equivalent (test 2): 90

Sand equivalent before temperature correction: 90

Sand equivalent after temperature correction: 90

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

Test was verified on 9/23/2022 ✔