DIME - Test Summary

Summary for Test 2023-11-07-94-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	03/01/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Taken Date	11/07/2023	Sample Unique Key	94
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	11/07/2023
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregates
The quantity of what the sample constitutes	200 CY	From where was the sample collected	Supplier
First name of sampler or witnessed by	Dorell	Last name of sampler or witnessed by	Harper
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granite Padaro 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)	91-42-0006
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	Conveyer Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	231R	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-11-07-94

DIME Test ID: 2023-11-07-94-1

Testing Lab: CT D05 - Carpinteria Field Laboratory

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

Test Release Date: 2023-12-06

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: Dorell Harper

Date of test: 11/07/2023

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

Test was verified on 12/6/2023 ✔