DIME - Test Summary

Summary for Test 2022-10-04-63-4

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 214573 DEA: 073096U4 EFIS: 0719000091
DIST-CO-RTE-PM	07-LA-210-R0.0/R9.7
Award Date	04/03/2020
Closeout Date	06/06/2024
Work Description	PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 06/05/2020)

Sample Taken Date	10/04/2022	Sample Unique Key	63
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	10/13/2022
Sample type	Department Acceptance	A brief description of the sample	1x4 and WCS
The quantity of what the sample constitutes	70 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Victor	Last name of sampler or witnessed by	Pham
Title of sampler		Telephone number of sampler	2137924794
Laboratory sample identification	C 1004B1	Linked DIME Sample ID
The fabricator/manufacturer/facility name	FCI Shortload yard	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)	91-19-0023
The fabricator's/manufacturer's product name for the sample	RSC CONCRETE MIX	The fabricator/manufacturer designation for the sample	Mix FIW 3018-A1
The plant number	FCI	A detailed description of where the material sample was collected	Plant Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	FIW 3018-A1	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2022-10-04-63

DIME Test ID: 2022-10-04-63-4

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-11-07

Number of tests: 3

Input Type: Measured

Tester's full name: A.Toledo

Date of test: 10/21/2022

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 5.6

Sand reading (test 1): 4.6

Clay reading (test 2): 4.7

Sand reading (test 2): 4.2

Clay reading (test 3): 4.8

Sand reading (test 3): 4.2

Sand equivalent (test 1): 83

Sand equivalent (test 2): 90

Sand equivalent (test 3): 88

Sand equivalent before temperature correction: 87

Sand equivalent after temperature correction: 87

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

Test was verified on 11/7/2022 ✔