DIME - Test Summary

Summary for Test 2014-08-14-31-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209020 DEA: 07288014 EFIS: 0700020957
DIST-CO-RTE-PM	07-LA-210-R9.7/R16.1
Award Date	10/18/2013
Closeout Date	05/10/2017
Work Description	REPLACE EXIST PVMT WITH PCC AND HMA AND REPLACE MEDIAN CONC BARRIER.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM 0.2 MILE WEST OF BIG TUJUNGA WASH BRIDGE TO DUNSMORE AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 10/10/2014)

Sample Taken Date	08/14/2014	Sample Unique Key	31
Date that the sample was received by the laboratory/organization performing the testing	08/18/2014	Sample type	Department Acceptance
A brief description of the sample	Class 3 Aggregate Base	The quantity of what the sample constitutes	3 Bags
From where was the sample collected	Other	First name of sampler or witnessed by	Ramzy
Last name of sampler or witnessed by	Nabulsi	Title of sampler	Unknown
Telephone number of sampler	Unknown	Laboratory sample identification	4234B
Linked DIME Sample ID	0	The fabricator/manufacturer/facility name	EB 210 Sta 610 00 East of Sunland Blvd On Ramp
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier	Not set	Structure name	Not set
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	Sample was taken at approximately Sta 610 00 from a stockpile where crushing machine was processing
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2014-08-14-31

DIME Test ID: 2014-08-14-31-1

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: 2015-02-20

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: Danilo Ferrer

Date of test: 08/20/2014

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

Test was verified on 2/20/2015 ✔