DIME - Test Summary

Summary for Test 2019-08-02-25-5

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625
DIST-CO-RTE-PM	08-RIV-15-34.7/51.6
Award Date	04/17/2017
Closeout Date	08/01/2024
Work Description	(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description	Riverside County and SBD-15-0.0/1.3
QA Service Level	1 (Verified on 05/08/2017)

Sample Taken Date	08/02/2019	Sample Unique Key	25
Date that the sample was received by the laboratory/organization performing the testing	08/06/2019	Sample type	Per Request
A brief description of the sample	Agg Subbase	The quantity of what the sample constitutes	1 bag
From where was the sample collected	Job Site	First name of sampler or witnessed by	No name on Tl0101
Last name of sampler or witnessed by	No name on TL0101	Title of sampler	QC Technician
Telephone number of sampler		Laboratory sample identification	8666
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Caltrans
Transportation Laboratory (TL) Number	C012477	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
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	I-15 SB
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2019-08-02-25

DIME Test ID: 2019-08-02-25-5

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: 2019-09-16

What size aggregate is being tested?: 1 in. x No. 4 - 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: Jose Guzman

Date of test: 08/12/2019

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

Test was verified on 9/16/2019 ✔