DIME - Test Summary

Summary for Test 2013-12-03-7003956-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 3995 DEA: 072332A4 EFIS: 0700000390
DIST-CO-RTE-PM	07-LA-5-R46.3/R50.0
Award Date	02/27/2012
Closeout Date	06/02/2015
Work Description	WIDEN ROADWAY AND BRIDGES WITH PCC AND CONSTRUCT RETAINING WALLS.
Location Description	LOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.3 MILE SOUTH OF WELDON CANYON OVERCROSSING TO 0.4 MILE SOUTH OF PICO CANYON ROAD/LYONS AVENUE OVERCROSSING
QA Service Level	1 (Verified on 04/23/2012)

Sample Taken Date	12/03/2013	Sample Unique Key	7003956
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	12/04/2013
Sample type	Department Acceptance	A brief description of the sample	Structure Backfill Material
The quantity of what the sample constitutes	1 Bag	From where was the sample collected	Source
First name of sampler or witnessed by	Unknown	Last name of sampler or witnessed by	Unknown
Title of sampler	Not set	Telephone number of sampler	Not set
Laboratory sample identification	Not set	Linked DIME Sample ID	Not set
The fabricator/manufacturer/facility name	RW 2578 (Back) 2594 32 to 2597 80	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	RW 2578
The fabricator's/manufacturer's product name for the sample	Not set	The fabricator/manufacturer designation for the sample	Not set
The plant number	Not set	A detailed description of where the material sample was collected	Stockpile
Where the material sample would have been placed if not sampled	Not set	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2013-12-03-7003956

DIME Test ID: 2013-12-03-7003956-1

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2015-02-20

What size aggregate is being tested?: Combined Gradation

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: Vincent Onoh

Date of test: 12/11/2013

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

Test was verified on 2/20/2015 ✔