DIME - Test Summary

Summary for Test 2014-01-22-15109181-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 7051 DEA: 023E9304
DIST-CO-RTE-PM	02-TRI,TRI-299-0.0/0.1,64.0/72.2
Award Date	04/11/2012
Closeout Date	06/21/2013
Work Description	HMA THIN BLANKET OVERLAY WITH DIGOUTS
Location Description	SHASTA AND TRINITY COUNTIES AT AND NEAR DOUGLAS CITY FROM 0.5 MILE EAST OF LEWISTON ROAD TO 0.1 MILE EAST OF SHASTA COUNTY LINE
QA Service Level	1 (Verified on 03/29/2012)

Sample Taken Date	01/22/2014	Sample Unique Key	15109181
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	01/22/2014
Sample type	Per Request	A brief description of the sample	Type A aggregate extracted by ignition
The quantity of what the sample constitutes	4 Cores	From where was the sample collected	Other
First name of sampler or witnessed by	Terry	Last name of sampler or witnessed by	McCormick
Title of sampler	Unknown	Telephone number of sampler	Unknown
Laboratory sample identification	D75699	Linked DIME Sample ID	0
The fabricator/manufacturer/facility name	In Place FMFC HMA	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)	Tullis - Northstate Asphalt
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	TRI 299 pm 68
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: 2014-01-22-15109181

DIME Test ID: 2014-01-22-15109181-1

Testing Lab: CT D02 - Redding Northern Regional Laboratory

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2014-11-03

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: Terry McCormick

Date of test: 02/04/2014

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

Test was verified on 11/3/2014 ✔