DIME - Test Summary

Summary for Test 2023-07-10-21-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215220 DEA: 07210624 EFIS: 0719000068
DIST-CO-RTE-PM	07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date	02/05/2021
Closeout Date	Not set
Work Description	PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description	IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level	1 (Verified on 03/24/2021)

Sample Taken Date	07/10/2023	Sample Unique Key	21
Date that the sample was received by the laboratory/organization performing the testing	07/11/2023	Sample type	Department Acceptance
A brief description of the sample	Washed Concrete Sand	The quantity of what the sample constitutes	120 CY
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Honesto
Last name of sampler or witnessed by	Castillo	Title of sampler	MREAS
Telephone number of sampler	12134537563	Laboratory sample identification	35C
Linked DIME Sample ID	2023-07-10-19 & 2023-07-10-20	The fabricator/manufacturer/facility name	Robertson Ready Mix Concrete-Pomona
Transportation Laboratory (TL) Number	C006692	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)	91-36-0072
The fabricator's/manufacturer's product name for the sample	Washed Concrete Sand	The fabricator/manufacturer designation for the sample
The plant number	5	A detailed description of where the material sample was collected	Belt Cut at Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number	SC590B38	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-07-10-21

DIME Test ID: 2023-07-10-21-1

Testing Lab: CT D07 - Plant Services, Unit 1841

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

Test Release Date: 2023-07-20

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: Honesto Castillo

Date of test: 07/11/2023

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

Test was verified on 7/20/2023 ✔