DIME - Test Summary

Summary for Test 2023-10-07-42-11

Test performed: CTM 202-November 2011

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	10/07/2023	Sample Unique Key	42
Date that the sample was received by the laboratory/organization performing the testing	10/10/2023	Sample type	Quality Assurance
A brief description of the sample	1INCH x No.4 PCC	The quantity of what the sample constitutes	N/A
From where was the sample collected	Source	First name of sampler or witnessed by	IGNACIO
Last name of sampler or witnessed by	ARECHIGA	Title of sampler
Telephone number of sampler	5102077252	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vanguard Mobile Hercules 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	Sampled from Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	HE4x4BM	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-10-07-42

DIME Test ID: 2023-10-07-42-11

Testing Lab: CT D04 - Richmond Field Laboratory

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

Test Release Date: 2023-12-05

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?: Yes

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

Input Type: Calculated

Tester's full name: IGNACIO ARECHIGA

Date of test: 10/10/2023

General comments (publicly viewable) (Max 1000 characters): Coarse and fines PASSED Vanguard Mobile Hercules Plant

Test was verified on 12/5/2023 ✔