DIME - Test Summary

Summary for Test 2014-02-14-8003667-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 3959 DEA: 072159C4 EFIS: 0700000339
DIST-CO-RTE-PM	07-LA-5-001.8/003.0
Award Date	08/19/2011
Closeout Date	08/16/2018
Work Description	CARMENITA INTERCHANGE IMPROVEMENT
Location Description	LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
QA Service Level	1 (Verified on 05/01/2012)

Sample Taken Date	02/14/2014	Sample Unique Key	8003667
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	02/14/2014
Sample type	Department Acceptance	A brief description of the sample	Class 2 Aggregate Base
The quantity of what the sample constitutes	2 Bags	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	4067B	Linked DIME Sample ID	Not set
The fabricator/manufacturer/facility name	Windrow at Sta. 43 00 A1 line to 45 00.	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)	Job Site.
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	Windrow at Sta. 43 00 A1 to 45 00.
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: 2014-02-14-8003667

DIME Test ID: 2014-02-14-8003667-1

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: Danilo Ferrer

Date of test: 02/19/2014

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

Test was verified on 2/20/2015 ✔