DIME - Test Summary

Summary for Test 2023-04-03-56-3

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164
DIST-CO-RTE-PM	02-SIS-I5-2.5/R15.9
Award Date	04/28/2023
Closeout Date	Not set
Work Description	Roadway rehabilitation and bridge improvements along I5 in Mount Shasta
Location Description	SIS I5 2.5/R15.9
QA Service Level	1 (Verified on 05/03/2023)

Sample Taken Date	04/03/2023	Sample Unique Key	56
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	05/15/2023
Sample type	Department Acceptance	A brief description of the sample	Concrete Aggregate, Coarse, 1½ x ¾-inch Primary Aggregate Nominal Size
The quantity of what the sample constitutes	up to 600 cy	From where was the sample collected	Source
First name of sampler or witnessed by	Danny	Last name of sampler or witnessed by	Hansen
Title of sampler		Telephone number of sampler
Laboratory sample identification	D79226A	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Custom Crushing	Transportation Laboratory (TL) Number	815605
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)	Custom Crushing
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	1-1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-04-03-56

DIME Test ID: 2023-04-03-56-3

Testing Lab: CT D02 - Redding Northern Regional Laboratory

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

Test Release Date: 2023-05-25

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

Input Type: Measured

Tester's full name: Colt Sweeny

Date of test: 05/18/2023

Top sediment column reading (single primary size): 0.3 in

Cleanness value (single primary size): 91

General comments (publicly viewable) (Max 1000 characters): CV=91

Test was verified on 5/25/2023 ✔