DIME - Test Summary

Summary for Test 2023-07-14-21-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993141 DEA: 060V1204 EFIS: 0616000207
DIST-CO-RTE-PM	06-MAD-99-R6.9/R7.6
Award Date	06/22/2022
Closeout Date	12/02/2025
Work Description	Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location Description	MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level	1 (Verified on 07/28/2021)

Sample Taken Date	07/14/2023	Sample Unique Key	21
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	07/14/2023
Sample type	Quality Assurance	A brief description of the sample	concrete aggregates
The quantity of what the sample constitutes	300 cy	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	tomas	Last name of sampler or witnessed by	Silva
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Builders Sanger	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)	91-10-0010
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	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-07-14-21

DIME Test ID: 2023-07-14-21-1

Testing Lab: CT D06 - Millbrook Field Laboratory

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

Test Release Date: 2023-07-19

What size aggregate is being tested?: 1 in. x No. 4 - Coarse Aggregate

Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained

For Combined Gradation only, has the fine aggregate sample been reduced?: Yes

For Combined Gradation only, use #40 Sieve?: Yes

Input Type: Calculated

Tester's full name: Allen Oliver

Date of test: 07/17/2023

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

Test was verified on 7/19/2023 ✔