Summary for Test 2022-11-10-36-2

Test performed: CTM 217-June 2011

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date11/10/2022 Sample Unique Key36
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 testing11/10/2022
Sample typeQuality Assurance A brief description of the sample1/2x4 coarse aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byVincent / David Last name of sampler or witnessed byTran / Nguyen
Title of samplerTransportation Engineer Technician Telephone number of sampler949-473-4006 / 949-279-8470
Laboratory sample identification22-1151 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Fountain Valley Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Orca Quarry Port McNeill BC Canada)
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 collectedStockpile at the Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberOR576SCP-8 Lot number
Sublot number Aggregate Mix Number

Test Details

DIME Sample ID: 2022-11-10-36
DIME Test ID: 2022-11-10-36-2
Testing Lab: CT D12 - Huntington Beach Field Laboratory
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Test Release Date: 2023-05-15

Test Results


Number of tests: 1
Input Type: Calculated
Tester's full name: Vincent Tran / David Nguyen
Date of test: 11/10/2022
Temperature correction: 0
Temperature of solution: 72
Clay reading (test 1): 5.3
Sand reading (test 1): 4.5
Sand equivalent (test 1): 85
Sand equivalent before temperature correction: 85
Sand equivalent after temperature correction: 85
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/15/2023