DIME - Test Summary

Summary for Test 2023-11-22-35-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676
DIST-CO-RTE-PM	04-SOL-80-R10.4/30.2
Award Date	01/18/2022
Closeout Date	Not set
Work Description	Highway widening, overhead signs, and electronic toll system.
Location Description	In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
QA Service Level	1 (Verified on 04/11/2022)

Sample Taken Date	11/22/2023	Sample Unique Key	35
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	12/12/2023
Sample type	Quality Assurance	A brief description of the sample	1x4 INCH & Sand PCC
The quantity of what the sample constitutes	Sample 1 of the day	From where was the sample collected	Source
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 Fairfield 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	1615759	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Sampled from the Belt @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	16	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-11-22-35

DIME Test ID: 2023-11-22-35-1

Testing Lab: CT D04 - Concord Field Laboratory

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

Test Release Date: 2023-12-13

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: 12/12/2023

General comments (publicly viewable) (Max 1000 characters): CEMEX Fairfield Plant Fines Passed as well Sample 1 of the day

Test was verified on 12/13/2023 ✔