DIME - Test Summary

Summary for Test 2022-06-08-63-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215349 DEA: 081C0824 EFIS: 0816000087
DIST-CO-RTE-PM	08-RIV-10-R104.9/R134.2
Award Date	03/24/2021
Closeout Date	01/06/2025
Work Description	PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location Description	RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
QA Service Level	1 (Verified on 03/01/2021)

Sample Taken Date	06/08/2022	Sample Unique Key	63
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	06/10/2022
Sample type	Department Acceptance	A brief description of the sample	PCC Aggregate
The quantity of what the sample constitutes	1396.5 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	H	Last name of sampler or witnessed by	Kain
Title of sampler	QA	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Coffman Blythe	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)	Coffman Blythe
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Conveyor Belt at Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1-1/2 inch
The concrete mix design number	2102-2	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-06-08-63

DIME Test ID: 2022-06-08-63-1

Testing Lab: CT D08 - Blythe Field Testing Laboratory

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

Test Release Date: 2022-09-30

What size aggregate is being tested?: 1.5 in. x 0.75 in. - Coarse Aggregate

Individual or cumulative mass retained on each sieve?: Individual 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: A. Hernandez

Date of test: 06/21/2022

General comments (publicly viewable) (Max 1000 characters): No 1/2in sieve used.

Test was verified on 9/30/2022 ✔