DIME - Test Summary

Summary for Test 2014-08-05-2-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 208798 DEA: 080R1904 EFIS: 0812000031
DIST-CO-RTE-PM	08-RIV-74-23.1
Award Date	04/03/2014
Closeout Date	05/11/2015
Work Description	INSTALL LIGHTING AND TRAFFIC SIGNALS.
Location Description	RIVERSIDE COUNTY NEAR PERRIS AT THEDA STREET
QA Service Level	1 (Verified on 04/16/2014)

Sample Taken Date	08/05/2014	Sample Unique Key	2
Date that the sample was received by the laboratory/organization performing the testing	08/05/2014	Sample type	Annual Source Testing
A brief description of the sample	1 and a half inch rock	The quantity of what the sample constitutes	8 Bags
From where was the sample collected	Source	First name of sampler or witnessed by	Tom
Last name of sampler or witnessed by	Milum	Title of sampler	QC Technician
Telephone number of sampler		Laboratory sample identification	4208B
Linked DIME Sample ID	Not set	The fabricator/manufacturer/facility name	Robertsons Banning Quarry
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)	91-33-0012::BANNING QUARRY
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	Stockpiles
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1-1/2 inch
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2014-08-05-2

DIME Test ID: 2014-08-05-2-1

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?: 1.5 in. x 0.75 in. - 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: Nader Rashidi

Date of test: 08/07/2014

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

Test was verified on 2/20/2015 ✔