DIME - Test Summary

Summary for Test 2023-06-20-45-4

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	03/01/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	06/20/2023	Sample Unique Key	45
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	06/20/2023
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregates
The quantity of what the sample constitutes	6cy	From where was the sample collected	Supplier
First name of sampler or witnessed by	Jesse	Last name of sampler or witnessed by	Gomez
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Martin Mariatta Goleta	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)	91-42-0014
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 @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	725A1Z0P	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-06-20-45

DIME Test ID: 2023-06-20-45-4

Testing Lab: CT D05 - Carpinteria Field Laboratory

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

Test Release Date: 2023-06-30

Describe the gradation of the aggregate or the test method:: Mix of sizes - max 1.5 in.

Input Type: Calculated

Tester's full name: Mike Bennett

Date of test: 06/20/2023

Cleanness value (11/2 in. maximum aggregate mix): 89

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

Test was verified on 6/30/2023 ✔