DIME - Test Summary

Summary for Test 2023-05-17-37-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993424 DEA: 04281204 EFIS: 0400000769
DIST-CO-RTE-PM	04-NAP-29,221-5.5/6.7,0.0/0.2
Award Date	03/21/2022
Closeout Date	Not set
Work Description	HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description	NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
QA Service Level	1 (Verified on 12/08/2021)

Sample Taken Date	05/17/2023	Sample Unique Key	37
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	05/17/2023
Sample type	Quality Assurance	A brief description of the sample	1" x No 4
The quantity of what the sample constitutes	1 Bag	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Anthony	Last name of sampler or witnessed by	Ibarra
Title of sampler	QA Technician	Telephone number of sampler	9512083308
Laboratory sample identification	Con_23_451	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Shamrock Napa	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	21-0119
Structure name		Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-57-0008
The fabricator's/manufacturer's product name for the sample	Coarse Aggregate	The fabricator/manufacturer designation for the sample	Batch
The plant number		A detailed description of where the material sample was collected	Stockpile @plant
Where the material sample would have been placed if not sampled	Abutment wall 1	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	SL4201CG	Lot number
Sublot number		Aggregate Mix Number	SL4201CG

DIME Sample ID: 2023-05-17-37

DIME Test ID: 2023-05-17-37-2

Testing Lab: CT D04 - Concord Field Laboratory

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

Test Release Date: 2023-05-22

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

Input Type: Measured

Tester's full name: Augusto Rios

Date of test: 05/17/2023

Top sediment column reading (single primary size): 1.2 in

Cleanness value (single primary size): 71

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

Test was verified on 5/22/2023 ✔