DIME - Test Summary

Summary for Test 2023-10-03-49-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 994264 DEA: 010H20U4 EFIS: 0122000085
DIST-CO-RTE-PM	01-HUM-101-77.3/79.5
Award Date	12/15/2022
Closeout Date	Not set
Work Description	Project Name: 5th Street Combine (Description of Work: Minor Concrete, Modify Signal and HMA)
Location Description	HUMBOLDT COUNTY IN EUREKA AT VARIOUS LOCATIONS FROM MCCULLENS AVENUE TO 0.1 MILE NORTH OF V STREET AND WEST AVENUE NORTHBOUND
QA Service Level	1 (Verified on 09/29/2022)

Sample Taken Date	10/03/2023	Sample Unique Key	49
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	10/03/2023
Sample type	Department Acceptance	A brief description of the sample	Class 2 AB
The quantity of what the sample constitutes	500 yd3	From where was the sample collected	Job Site
First name of sampler or witnessed by	Arvin	Last name of sampler or witnessed by	Lal
Title of sampler	ARE	Telephone number of sampler	7074964348
Laboratory sample identification	23-277	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Mercer Fraser	Transportation Laboratory (TL) Number	C724207
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)	91-12-0002
The fabricator's/manufacturer's product name for the sample	Class 2 AB	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Stockpile @ Yard
Where the material sample would have been placed if not sampled	under curb ramps 5th Street	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-10-03-49

DIME Test ID: 2023-10-03-49-1

Testing Lab: CT D01 - District 1 Materials Laboratory

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

Test Release Date: 2023-10-10

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: Jayce Brown

Date of test: 10/05/2023

General comments (publicly viewable) (Max 1000 characters): Passing 200 is outside of operating range, but within contract compliance

Test was verified on 10/10/2023 ✔