DIME - Test Summary

Summary for Test 2023-04-09-1-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993844 DEA: 070W1004 EFIS: 0721000043
DIST-CO-RTE-PM	07-LA-5-31.8/42.6
Award Date	06/28/2022
Closeout Date	Not set
Work Description	PLACE RUBBERIZED HMA (GAP GRADED)
Location Description	LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING
QA Service Level	1 (Verified on 09/20/2022)

Sample Taken Date	04/09/2023	Sample Unique Key	1
Date that the sample was received by the laboratory/organization performing the testing	04/12/2023	Sample type	Department Acceptance
A brief description of the sample	Coarse and fine aggregate	The quantity of what the sample constitutes	Two Bags
From where was the sample collected	Job Site	First name of sampler or witnessed by	Baher
Last name of sampler or witnessed by	Fakhoury	Title of sampler
Telephone number of sampler	2137937180	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	George Throop
Transportation Laboratory (TL) Number		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)	91-33-0035
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	Ground Pile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	2010-007	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-04-09-1

DIME Test ID: 2023-04-09-1-2

Testing Lab: CT D07 - Plant Services, Unit 1841

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

Test Release Date: 2023-07-06

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

Input Type: Measured

Tester's full name: Baher Fakhoury

Date of test: 04/14/2023

Top sediment column reading (single primary size): 0.2 in

Cleanness value (single primary size): 94

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

Test was verified on 7/6/2023 ✔