DIME - Test Summary

Summary for Test 2023-11-22-24-6

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 215314 DEA: 07333004 EFIS: 0716000298
DIST-CO-RTE-PM	07-LA-5,5-15.1/22.9
Award Date	10/20/2022
Closeout Date	Not set
Work Description	PROJECT PILOT 1
Location Description	LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level	1 (Verified on 07/12/2021)

Sample Taken Date	11/22/2023	Sample Unique Key	24
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	11/23/2023
Sample type	Department Acceptance	A brief description of the sample	PCC Aggregates
The quantity of what the sample constitutes	3 bags of PCC Aggregates	From where was the sample collected	Source
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	National Ready Mix - Vernon	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0052
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
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-11-22-24

DIME Test ID: 2023-11-22-24-6

Testing Lab: CT D07 - Plant Services

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2023-12-06

Number of tests: 2

Input Type: Measured

Tester's full name: Avo Karajian

Date of test: 11/23/2023

Temperature correction: 0

Temperature of solution: 75

Clay reading (test 1): 5

Sand reading (test 1): 4

Clay reading (test 2): 5

Sand reading (test 2): 4

Sand equivalent (test 1): 80

Sand equivalent (test 2): 80

Sand equivalent before temperature correction: 80

Sand equivalent after temperature correction: 80

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

Test was verified on 12/6/2023 ✔