DIME - Test Summary

Summary for Test 2013-09-27-9428-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 7428 DEA: 07215944 EFIS: 0700001834
DIST-CO-RTE-PM	07-LA-5-4.0/5.9
Award Date	08/23/2012
Closeout Date	07/02/2021
Work Description	RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location Description	LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
QA Service Level	1 (Verified on 11/07/2012)

Sample Taken Date	09/27/2013	Sample Unique Key	9428
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	09/27/2013
Sample type	Department Acceptance	A brief description of the sample	1-1/2 Rock
The quantity of what the sample constitutes	3 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Unknown	Last name of sampler or witnessed by	Unknown
Title of sampler	Not set	Telephone number of sampler	Not set
Laboratory sample identification	3246B	Linked DIME Sample ID	Not set
The fabricator/manufacturer/facility name	Sully Miller	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	Unknown
The fabricator's/manufacturer's product name for the sample	Not set	The fabricator/manufacturer designation for the sample	Not set
The plant number	Not set	A detailed description of where the material sample was collected	Stockpile
Where the material sample would have been placed if not sampled	Not set	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2013-09-27-9428

DIME Test ID: 2013-09-27-9428-1

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2015-02-19

What size aggregate is being tested?: Combined Gradation

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: Roberto Jarquin

Date of test: 10/01/2013

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

Test was verified on 2/19/2015 ✔