DIME - Test Summary

Summary for Test 2025-02-24-53-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	02/24/2025	Sample Unique Key	53
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	02/24/2025
Sample type	Aggregate Prequalification Program	A brief description of the sample	3/8" Aggregate
The quantity of what the sample constitutes	200	From where was the sample collected	Source
First name of sampler or witnessed by	Kreetha	Last name of sampler or witnessed by	Mekchai
Title of sampler		Telephone number of sampler	6267645399
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hi Grade Lucern Valley	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)	91-36-0042
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	Flat top under belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2025-02-24-53

DIME Test ID: 2025-02-24-53-1

Testing Lab: Hi Grade Materials

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

Test Release Date: 2025-03-13

What size aggregate is being tested?: 0.375 in x No. 8 - 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: Miguel Robles

Date of test: 02/24/2025

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

Test was verified on 3/13/2025 ✔