DIME - Test Summary

Summary for Test 2019-09-16-19-3

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214032 DEA: 09378604 EFIS: 0918000080
DIST-CO-RTE-PM	09-KER-58-R128.9/R135.1
Award Date	05/13/2019
Closeout Date	12/02/2019
Work Description	COLD PLANE AC PAVEMENT AND PLACE HMA.
Location Description	KERN COUNTY NEAR BORON FROM 1.3 MILES EAST OF CALIFORNIA CITY BOULEVARD TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING
QA Service Level	NOT VERIFIED

Sample Taken Date	09/16/2019	Sample Unique Key	19
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	10/25/2019
Sample type	Department Acceptance	A brief description of the sample	Coldfeed 3/4" Lime Treated Agg
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Job Site
First name of sampler or witnessed by	Tim	Last name of sampler or witnessed by	Reyes
Title of sampler	QC Supervisor	Telephone number of sampler
Laboratory sample identification	8722	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Little Rock	Transportation Laboratory (TL) Number	C912442
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	From roard while paving in operation
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	3	Aggregate Mix Number	Not set

DIME Sample ID: 2019-09-16-19

DIME Test ID: 2019-09-16-19-3

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: 2019-10-07

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: Larry Diaz

Date of test: 09/27/2019

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

Test was verified on 10/7/2019 ✔