DIME - Test Summary

Summary for Test 2023-06-02-67-4

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 994345 DEA: 023J7804 EFIS: 0222000083
DIST-CO-RTE-PM	02-TRI-36-15.8/16.9,20.5/24.5
Award Date	12/22/2022
Closeout Date	08/22/2023
Work Description	PLACE HOT MIX ASPHALT (TYPE A) AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description	TRINITY COUNTY NEAR FOREST GLEN FROM 1.1 MILES WEST OF SOUTH FORK TRINITY RIVER BRIDGE TO SOUTH FORK TRINITY RIVER BRIDGE NO. 05-0026 AND FROM UPPER RATTLESNAKE CREEK BRIDGE NO. 05-0073 TO 0.3 MILE WEST OF TRINITY PINES ROAD
QA Service Level	1 (Verified on 03/28/2023)

Sample Taken Date	06/02/2023	Sample Unique Key	67
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	06/05/2023
Sample type	Department Acceptance	A brief description of the sample	4 bags of 1½-inch Maximum Shoulder Backing
The quantity of what the sample constitutes	Up to 3000 tons	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cindy	Last name of sampler or witnessed by	Bryant
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification	D79258	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Blue Point Quarry	Transportation Laboratory (TL) Number	857933
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)	Blue Point Quarry
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	Stockpile at plant
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: 2023-06-02-67

DIME Test ID: 2023-06-02-67-4

Testing Lab: CT D02 - Redding Northern Regional Laboratory

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2023-07-25

Number of tests: 1

Input Type: Measured

Tester's full name: Josh Ferency

Date of test: 06/06/2023

Temperature correction: 0

Temperature of solution: 69.6

Clay reading (test 1): 14.1

Sand reading (test 1): 3.4

Sand equivalent (test 1): 25

Sand equivalent before temperature correction: 25

Sand equivalent after temperature correction: 25

General comments (publicly viewable) (Max 1000 characters): SE=25

Test was verified on 7/25/2023 ✔