DIME - Test Summary

Summary for Test 2019-03-29-16-2

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209695 DEA: 08347704 EFIS: 0800000616
DIST-CO-RTE-PM	08-SBD-SR-58-0/12.9
Award Date	11/10/2017
Closeout Date	01/14/2021
Work Description	(Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description	SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
QA Service Level	1 (Verified on 12/01/2017)

Sample Taken Date	03/29/2019	Sample Unique Key	16
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	03/29/2019
Sample type	Per Request	A brief description of the sample	Sggregate Subbase (LCB)
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Job Site
First name of sampler or witnessed by	Shahidi	Last name of sampler or witnessed by	Shaine
Title of sampler	RE	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Contractor Kiewit	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)	Unknown
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	Jobsite
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2019-03-29-16

DIME Test ID: 2019-03-29-16-2

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: 2019-05-04

What size aggregate is being tested?: Fine 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: Satish Jain

Date of test: 04/04/2019

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

Test was verified on 4/27/2019 ✔