DIME - Test Summary

Summary for Test 2023-08-15-26-3

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	03/01/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	08/15/2023	Sample Unique Key	26
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	08/15/2023
Sample type	Quality Assurance	A brief description of the sample	1x4 concrete aggregates
The quantity of what the sample constitutes	20CY	From where was the sample collected	Supplier
First name of sampler or witnessed by	Mike	Last name of sampler or witnessed by	Bennett
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	CEMEX Santa Barbara	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)	91-19-0016
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	1614705	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-08-15-26

DIME Test ID: 2023-08-15-26-3

Testing Lab: CT D05 - Carpinteria Field Laboratory

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

Test Release Date: 2023-08-16

Number of tests: 1

Input Type: Measured

Tester's full name: Mike Bennett

Date of test: 08/15/2023

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 5.3

Sand reading (test 1): 4.1

Sand equivalent (test 1): 78

Sand equivalent before temperature correction: 78

Sand equivalent after temperature correction: 78

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

Test was verified on 8/16/2023 ✔