DIME - Test Summary

Summary for Test 2022-10-27-29-6

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	10/27/2022	Sample Unique Key	29
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	10/28/2022
Sample type	Department Acceptance	A brief description of the sample	1x4 PCC Aggregates
The quantity of what the sample constitutes	400 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		Linked DIME Sample ID
The fabricator/manufacturer/facility name	FCI PCC Portable Plant	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

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		The fabricator/manufacturer designation for the sample	Mix JPCP-3215-06
The plant number		A detailed description of where the material sample was collected	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	JPCP-3215-06	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2022-10-27-29

DIME Test ID: 2022-10-27-29-6

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-11-14

Number of tests: 2

Input Type: Measured

Tester's full name: Victor Pham

Date of test: 10/28/2022

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 5

Sand reading (test 1): 4.4

Clay reading (test 2): 4.9

Sand reading (test 2): 4.1

Sand equivalent (test 1): 88

Sand equivalent (test 2): 84

Sand equivalent before temperature correction: 86

Sand equivalent after temperature correction: 86

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

Test was verified on 11/14/2022 ✔