DIME - Test Summary

Summary for Test 2014-02-05-7307672-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 3958 DEA: 07215914 EFIS: 0700001831
DIST-CO-RTE-PM	07-LA-5-1.2/2.1
Award Date	12/31/1969
Closeout Date	06/14/2016
Work Description	WIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location Description	LOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level	1 (Verified on 05/01/2012)

Sample Taken Date	02/05/2014	Sample Unique Key	7307672
Date that the sample was received by the laboratory/organization performing the testing	02/05/2014	Sample type	Department Acceptance
A brief description of the sample	Class 3 Aggregate Base	The quantity of what the sample constitutes	2 Bags
From where was the sample collected	Other	First name of sampler or witnessed by	Jose
Last name of sampler or witnessed by	Burbano	Title of sampler	ARE
Telephone number of sampler	Unknown	Laboratory sample identification	4059B
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	DR 1 line Sta 84 00 to 86 00
Transportation Laboratory (TL) Number	Unknown	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)	Robertsons Anaheim
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	DR 1 line Sta 84 to 86
Where the material sample would have been placed if not sampled	Unknown	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: 2014-02-05-7307672

DIME Test ID: 2014-02-05-7307672-1

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: Farzin Farah

Date of test: 02/13/2014

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

Test was verified on 2/20/2015 ✔