DIME - Test Summary

Summary for Test 2023-07-20-27-9

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993870 DEA: 120R5604 EFIS: 1218000117
DIST-CO-RTE-PM	12-ORA-5,55,73,91,133,405-var
Award Date	04/12/2023
Closeout Date	Not set
Work Description	PLACE RHMA-G, HMA, SLAB REPLACEMENT AND JPCP.
Location Description	ORANGE COUNTY AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 06/14/2022)

Sample Taken Date	07/20/2023	Sample Unique Key	27
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	07/21/2023
Sample type	Verification	A brief description of the sample	JMF 1/2" HMA-OGFC
The quantity of what the sample constitutes	4 Bags Of Aggregate	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Viictor	Last name of sampler or witnessed by	Capacete
Title of sampler		Telephone number of sampler
Laboratory sample identification	0375O-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	All American Asphalt- Corona	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)	91-33-0005
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	Belt Cut at All American Corona Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number	100830	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-07-20-27

DIME Test ID: 2023-07-20-27-9

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: 2023-10-04

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?: Yes

For Combined Gradation only, use #40 Sieve?: No

Input Type: Calculated

Tester's full name: Satish Jain/Ali Rehman

Date of test: 08/01/2023

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

Test was verified on 10/4/2023 ✔