DIME - Test Summary

Summary for Test 2019-03-08-18-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	03/08/2019	Sample Unique Key	18
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	Not set
Sample type	Aggregate Prequalification Program	A brief description of the sample	Washed 1 x #4 Crushed Rock
The quantity of what the sample constitutes	160 lbs	From where was the sample collected	Source
First name of sampler or witnessed by	Tyler	Last name of sampler or witnessed by	Lavorci
Title of sampler	QC Technician	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Azusa Fish Canyon	Transportation Laboratory (TL) Number
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)	91-19-0035::FISH CANYON QUARRY
The fabricator's/manufacturer's product name for the sample	Washed 1 x 4 Aggregate	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Stockpile @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2019-03-08-18

DIME Test ID: 2019-03-08-18-1

Testing Lab: Vulcan Materials Company - Irwindale

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2019-10-01

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: Dale Bartlett

Date of test: 06/18/2019

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

Test was verified on 10/1/2019 ✔