DIME - Test Summary

Summary for Test 2023-02-02-49-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993429 DEA: 07324804 EFIS: 0716000078
DIST-CO-RTE-PM	07-LA-57-5.0
Award Date	04/07/2022
Closeout Date	09/24/2024
Work Description	CONSTRUCT MAINTENANCE VEHICLE PULLOUTS AND BIOFILTRATION SWALE.
Location Description	LOS ANGELES COUNTY IN DIAMOND BAR AT SOUTHBOUND ON AND OFF RAMP TO SUNSET CROSSING ROAD
QA Service Level	1 (Verified on 12/06/2021)

Sample Taken Date	02/02/2023	Sample Unique Key	49
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	02/02/2023
Sample type	Department Acceptance	A brief description of the sample	Coarse and fine aggregate
The quantity of what the sample constitutes	Three Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Baher	Last name of sampler or witnessed by	Fakhoury
Title of sampler		Telephone number of sampler	2137937180
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertson's Pomona	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)	91-33-0061
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
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	SC590B38	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-02-02-49

DIME Test ID: 2023-02-02-49-2

Testing Lab: CT D07 - Plant Services

Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)

Test Release Date: 2023-03-30

Describe the gradation of the aggregate or the test method:: All aggregate is the same size

Input Type: Measured

Tester's full name: Baher Fakhoury

Date of test: 02/06/2023

Top sediment column reading (single primary size): 0.4 in

Cleanness value (single primary size): 89

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

Test was verified on 3/30/2023 ✔