DIME - Test Summary

Summary for Test 2023-12-07-2-1

Test performed: CTM 202-November 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	08/20/2025
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	12/07/2023	Sample Unique Key	2
Date that the sample was received by the laboratory/organization performing the testing	12/07/2023	Sample type	Department Acceptance
A brief description of the sample	1 x 4 PCC Aggregate and Sand	The quantity of what the sample constitutes	50 CY
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Honesto
Last name of sampler or witnessed by	Castillo	Title of sampler	MREAS
Telephone number of sampler	12134537563	Laboratory sample identification	58A
Linked DIME Sample ID	2023-12-07-3 & 2023-12-07-4	The fabricator/manufacturer/facility name	National Ready Mix Concrete-Vernon
Transportation Laboratory (TL) Number	C 006738	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)	91-19-0052
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	144	A detailed description of where the material sample was collected	Belt Cut at Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	S73C445T15	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-12-07-2

DIME Test ID: 2023-12-07-2-1

Testing Lab: CT D07 - Plant Services, Unit 1841

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

Test Release Date: 2023-12-11

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: Honesto Castillo

Date of test: 12/07/2023

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

Test was verified on 12/11/2023 ✔