DIME - Test Summary

Summary for Test 2019-12-30-14-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 7613 DEA: 071218W4 EFIS: 0700021119
DIST-CO-RTE-PM	07-LA-5-29.4/31.6
Award Date	11/29/2012
Closeout Date	07/31/2023
Work Description	REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description	LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 10/08/2012)

Sample Taken Date	12/30/2019	Sample Unique Key	14
Date that the sample was received by the laboratory/organization performing the testing	12/31/2019	Sample type	Department Acceptance
A brief description of the sample	1.0" X No. 4 PCC AGG	The quantity of what the sample constitutes	1 BUCKET
From where was the sample collected	Distributor	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	9075
Linked DIME Sample ID	2019-12-30-14	The fabricator/manufacturer/facility name	VULCAN SUN VALLEY
Transportation Laboratory (TL) Number	C914345	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	RTE 5 SBB EMPIRE PHASE 4	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	S72017	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2019-12-30-14

DIME Test ID: 2019-12-30-14-1

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: 2020-03-20

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: EDMOUND JABBOUR

Date of test: 01/03/2020

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

Test was verified on 3/20/2020 ✔