DIME - Test Summary

Summary for Test 2023-09-01-122-12

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 994803 DEA: 043J0704 EFIS: 0415000077
DIST-CO-RTE-PM	04-CC-80-10.1/13.5
Award Date	03/10/2023
Closeout Date	10/06/2025
Work Description	Remove PCC and AC, place PCP and AC Resurfacing.
Location Description	Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct.
QA Service Level	1 (Verified on 05/10/2023)

Sample Taken Date	09/01/2023	Sample Unique Key	122
Date that the sample was received by the laboratory/organization performing the testing	09/01/2023	Sample type	Quality Assurance
A brief description of the sample	1INCH x No. 4 PCC	The quantity of what the sample constitutes	Sample 6 (2 bags)
From where was the sample collected	Job Site	First name of sampler or witnessed by	Nick
Last name of sampler or witnessed by	Hall	Title of sampler
Telephone number of sampler	7072999133	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	CEMEX . Source Clayton #4402 Plant
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)	none
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	Stockpile @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	HE4x12BM	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-09-01-122

DIME Test ID: 2023-09-01-122-12

Testing Lab: CT D04 - Richmond Field Laboratory

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

Test Release Date: 2023-11-29

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

Input Type: Calculated

Tester's full name: IGNACIO ARECHIGA

Date of test: 09/01/2023

Cleanness value (single primary size): 71

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

Test was verified on 11/29/2023 ✔