DIME - Test Summary

Summary for Test 2023-09-05-34-10

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 994620 DEA: 120T6304 EFIS: 1222000073
DIST-CO-RTE-PM	12-ORA-39-3.2/5.8
Award Date	06/12/2023
Closeout Date	06/18/2024
Work Description	COLD PLANE AC PVMT AND PLACE RHMA.
Location Description	ORANGE COUNTY IN HUNTINGTON BEACH FROM ELLIS AVENUE/MAIN STREET TO STARK DRIVE
QA Service Level	1 (Verified on 07/07/2023)

Sample Taken Date	09/05/2023	Sample Unique Key	34
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	09/08/2023
Sample type	Verification	A brief description of the sample	PSUE 3/4" HMA-A-SP R25 0.25% EVO
The quantity of what the sample constitutes	4 Bags Of Agg., 1 Bag Rap	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	RJ Noble	Last name of sampler or witnessed by	QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0462A-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	RJ Noble Orange	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)	91-33-0035
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 RJ Noble Orange Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	36R2503SPWEO	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-09-05-34

DIME Test ID: 2023-09-05-34-10

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: 2023-11-01

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/David Padilla

Date of test: 09/14/2023

General comments (publicly viewable) (Max 1000 characters): Comb. Virgin Agg., Gradation W/Rap Gradation Correlation Factors

Test was verified on 11/1/2023 ✔