DIME - Test Summary

Summary for Test 2023-02-21-40-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993664 DEA: 073311U4 EFIS: 0719000098
DIST-CO-RTE-PM	07-VEN-23,101-R3.3/R3.7,0.2/40.8
Award Date	08/31/2022
Closeout Date	Not set
Work Description	CONSTRUCT GUARDRAILS AND CONCRETE BARRIER.
Location Description	VENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE
QA Service Level	1 (Verified on 05/11/2022)

Sample Taken Date	02/21/2023	Sample Unique Key	40
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	02/28/2023
Sample type	Department Acceptance	A brief description of the sample	PCC Aggregate
The quantity of what the sample constitutes	3 Bags of Aggregates	From where was the sample collected	Source
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Associated Ready Mix	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)	91-19-0054
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	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-02-21-40

DIME Test ID: 2023-02-21-40-1

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2023-03-02

What size aggregate is being tested?: Fine Aggregate

Individual or cumulative mass retained on each sieve?: Cumulative 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: Avo Karajian

Date of test: 02/28/2023

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

Test was verified on 3/2/2023 ✔