DIME - Test Summary

Summary for Test 2022-12-11-5-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993333 DEA: 04264724 EFIS: 0419000068
DIST-CO-RTE-PM	04-MRN-101-R20.8/27.1
Award Date	04/26/2022
Closeout Date	Not set
Work Description	CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description	MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level	1 (Verified on 11/01/2021)

Sample Taken Date	12/11/2022	Sample Unique Key	5
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	12/11/2022
Sample type	Annual Source Testing	A brief description of the sample	1 x 4 PCC Aggregate
The quantity of what the sample constitutes	6 Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cody	Last name of sampler or witnessed by	Cordero
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Syar Lake Herman	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)	91-48-0002
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	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2022-12-11-5

DIME Test ID: 2022-12-11-5-2

Testing Lab: CT D04 - Petaluma Field Laboratory

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

Test Release Date: 2023-05-04

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

Input Type: Measured

Tester's full name: Anthony Valdez

Date of test: 12/12/2022

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 5/4/2023 ✔