DIME - Test Summary

Summary for Test 2014-10-05-1-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 7428 DEA: 07215944 EFIS: 0700001834
DIST-CO-RTE-PM	07-LA-5-4.0/5.9
Award Date	08/23/2012
Closeout Date	07/02/2021
Work Description	RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location Description	LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
QA Service Level	1 (Verified on 11/07/2012)

Sample Taken Date	10/05/2014	Sample Unique Key	1
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	10/07/2014
Sample type	Department Acceptance	A brief description of the sample	Soil for Structure Backfill
The quantity of what the sample constitutes	Unknown	From where was the sample collected	Source
First name of sampler or witnessed by	Mian	Last name of sampler or witnessed by	Ali
Title of sampler	Assistant RE	Telephone number of sampler	Unknown
Laboratory sample identification	4281B	Linked DIME Sample ID	0
The fabricator/manufacturer/facility name	3rd St off from 710 Northbound	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	Soil	The fabricator's/manufacturer's product name for the sample	Unknown
The fabricator/manufacturer designation for the sample	Unknown	A detailed description of where the material sample was collected	3rd St off from 710 Northbound
Where the material sample would have been placed if not sampled	Unknown

DIME Sample ID: 2014-10-05-1

DIME Test ID: 2014-10-05-1-1

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: 10/08/2014

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

Test was verified on 2/20/2015 ✔