DIME - Test Summary

Summary for Test 2023-06-13-52-2

Test performed: CTM 202-November 2011

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	06/13/2023	Sample Unique Key	52
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	06/14/2023
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregates
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Job Site
First name of sampler or witnessed by	Nick	Last name of sampler or witnessed by	Hall
Title of sampler	QA Technician	Telephone number of sampler	7072999133
Laboratory sample identification	Con_23_689	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Job Site stock pile	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	Soil	The fabricator's/manufacturer's product name for the sample
The fabricator/manufacturer designation for the sample		A detailed description of where the material sample was collected	plant belt
Where the material sample would have been placed if not sampled

DIME Sample ID: 2023-06-13-52

DIME Test ID: 2023-06-13-52-2

Testing Lab: CT D04 - Concord Field Laboratory

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

Test Release Date: 2023-06-19

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: KC Lafferty

Date of test: 06/14/2023

General comments (publicly viewable) (Max 1000 characters): PCC SAND Gradation

Test was verified on 6/19/2023 ✔