DIME - Test Summary

Summary for Test 2023-11-20-7-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 993387 DEA: 07323404 EFIS: 0716000064
DIST-CO-RTE-PM	07-LA-5-R59.5/R67.9
Award Date	Not set
Closeout Date	Not set
Work Description	PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT.
Location Description	LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING
QA Service Level	1 (Verified on 12/06/2021)

Sample Taken Date	11/20/2023	Sample Unique Key	7
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	11/20/2023
Sample type	Department Acceptance	A brief description of the sample	1" X #4
The quantity of what the sample constitutes	175 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Kevin	Last name of sampler or witnessed by	Hopkins
Title of sampler	Plant Inspector	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Security Paving Volumetric	Transportation Laboratory (TL) Number	C112023A
Inspector Lot Number from the Transportation Laboratory (TL) Form	KH104D	Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0035
The fabricator's/manufacturer's product name for the sample	RSC CONCRETE MIX	The fabricator/manufacturer designation for the sample
The plant number	Security Paving Volumetric	A detailed description of where the material sample was collected	Stockpile @ Jobsite
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	G3-21-CTS-220	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-11-20-7

DIME Test ID: 2023-11-20-7-2

Testing Lab: CT D07 - Plant Services

Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)

Test Release Date: 2023-11-21

Describe the gradation of the aggregate or the test method:: All aggregate is the same size

Input Type: Measured

Tester's full name: Kevin Hopkins

Date of test: 11/20/2023

Top sediment column reading (single primary size): 1.1 in

Cleanness value (single primary size): 73

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

Test was verified on 11/21/2023 ✔