DIME - Test Summary

Summary for Test 2024-02-03-1-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993781 DEA: 07322404 EFIS: 0716000055
DIST-CO-RTE-PM	07-LA-134-R12.6,R12.9
Award Date	08/03/2022
Closeout Date	03/13/2025
Work Description	REMOVE BRIDGE RAILING AND PLACE CONCRETE BARRIER.
Location Description	LOS ANGELES COUNTY IN PASADENA AT ARROYO SECO BRIDGE AND AT THE ORANGE GROVE BOULEVARD ON-RAMP OVERCROSSING
QA Service Level	1 (Verified on 05/11/2022)

Sample Taken Date	02/03/2024	Sample Unique Key	1
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	02/08/2024
Sample type	Department Acceptance	A brief description of the sample	1x4 PCC Aggregates
The quantity of what the sample constitutes	16 cy	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	victor	Last name of sampler or witnessed by	Pham
Title of sampler		Telephone number of sampler	2137924794
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex LA	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)	91-36-0106
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample	Mix 1610837
The plant number	Los Angeles	A detailed description of where the material sample was collected	Stockpile @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	1610837	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2024-02-03-1

DIME Test ID: 2024-02-03-1-1

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2024-03-22

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: Victor Pham

Date of test: 02/09/2024

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

Test was verified on 3/22/2024 ✔