DIME - Test Summary

Summary for Test 2023-10-19-5-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993141 DEA: 060V1204 EFIS: 0616000207
DIST-CO-RTE-PM	06-MAD-99-R6.9/R7.6
Award Date	06/22/2022
Closeout Date	12/02/2025
Work Description	Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location Description	MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level	1 (Verified on 07/28/2021)

Sample Taken Date	10/19/2023	Sample Unique Key	5
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	10/19/2023
Sample type	Verification	A brief description of the sample	1x4, 3/8, Sand
The quantity of what the sample constitutes	100-600cy approximately	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Noah	Last name of sampler or witnessed by	Hunt
Title of sampler	Senior Materials Tester	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Builders Concrete Ready Mix Plant-Ashlan	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)	91-10-0010
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 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: 2023-10-19-5

DIME Test ID: 2023-10-19-5-1

Testing Lab: CT D06 - Millbrook Field Laboratory

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

Test Release Date: 2023-10-19

What size aggregate is being tested?: 1 in. x No. 4 - Coarse Aggregate

Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained

For Combined Gradation only, has the fine aggregate sample been reduced?: No

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

Input Type: Calculated

Tester's full name: Tomas Silva

Date of test: 10/19/2023

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

Test was verified on 10/19/2023 ✔