DIME - Test Summary

Summary for Test 2019-12-05-12-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 212888 DEA: 07202124 EFIS: 0700020870
DIST-CO-RTE-PM	07-LA-710-20.9/24.6
Award Date	02/16/2018
Closeout Date	05/04/2022
Work Description	PAVEMENT REHABILITATION AND BRIDGE WIDENING
Location Description	LOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level	1 (Verified on 03/29/2018)

Sample Taken Date	12/05/2019	Sample Unique Key	12
Date that the sample was received by the laboratory/organization performing the testing	12/08/2019	Sample type	Department Acceptance
A brief description of the sample	1" PCC AGG	The quantity of what the sample constitutes	1 bag
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	MD
Last name of sampler or witnessed by	Shahjahan	Title of sampler	MREA
Telephone number of sampler		Laboratory sample identification	8967
Linked DIME Sample ID	2019-12-05-12	The fabricator/manufacturer/facility name	NATIONAL READY MIXED CONCRETE VERNON PLANT
Transportation Laboratory (TL) Number	C923347	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	unknown
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	S60053	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2019-12-05-12

DIME Test ID: 2019-12-05-12-1

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: 2020-03-17

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: LARRY DIAZ

Date of test: 12/11/2019

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

Test was verified on 3/17/2020 ✔