DIME - Test Summary

Summary for Test 2023-06-29-39-4

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993664 DEA: 073311U4 EFIS: 0719000098
DIST-CO-RTE-PM	07-VEN-23,101-R3.3/R3.7,0.2/40.8
Award Date	08/31/2022
Closeout Date	Not set
Work Description	CONSTRUCT GUARDRAILS AND CONCRETE BARRIER.
Location Description	VENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE
QA Service Level	1 (Verified on 05/11/2022)

Sample Taken Date	06/29/2023	Sample Unique Key	39
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	07/05/2023
Sample type	Department Acceptance	A brief description of the sample	1x4 PCC Aggregates
The quantity of what the sample constitutes	70 cy	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	victor	Last name of sampler or witnessed by	Pham
Title of sampler		Telephone number of sampler	2137924794
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Associated Ready Mix - Oxnard	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)	91-19-0054
The fabricator's/manufacturer's product name for the sample	class 2 concrete	The fabricator/manufacturer designation for the sample	mix sl590330
The plant number	Oxnard	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	SL590330	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-06-29-39

DIME Test ID: 2023-06-29-39-4

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2023-07-19

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

Input Type: Measured

Tester's full name: Victor Pham

Date of test: 07/05/2023

Top sediment column reading (single primary size): 0.4 in

Cleanness value (single primary size): 89

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

Test was verified on 7/19/2023 ✔