DIME - Test Summary

Summary for Test 2019-12-14-2-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Taken Date	12/14/2019	Sample Unique Key	2
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	12/17/2019
Sample type	Department Acceptance	A brief description of the sample	1" X No. 4 PCC AGGREGATE
The quantity of what the sample constitutes	1	From where was the sample collected	Distributor
First name of sampler or witnessed by	TUAN	Last name of sampler or witnessed by	Nguyen
Title of sampler	MREA	Telephone number of sampler
Laboratory sample identification	9007	Linked DIME Sample ID	2019-12-14-2
The fabricator/manufacturer/facility name	ROBERTSON IRWINDALE	Transportation Laboratory (TL) Number	CTNTI
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

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	RRM 16015	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2019-12-14-2

DIME Test ID: 2019-12-14-2-1

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: 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: HUSNI ANKIR

Date of test: 12/26/2019

Cumulative percent passing the 1 1/2 in. sieve: 100 %

Cumulative percent passing the 1 in. sieve: 94 %

Cumulative percent passing the 3/4 in. sieve: 14 %

Cumulative percent passing the 1/2 in. sieve: 18 %

Cumulative percent passing the 3/8 in. sieve: 7 %

Cumulative percent passing the #4 sieve: 1 %

Cumulative percent passing the #8 sieve: 0.6 %

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

Test was verified on 3/17/2020 ✔