DIME - Test Summary

Summary for Test 2014-10-30-2-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209046 DEA: 120F96E4 EFIS: 1200020279
DIST-CO-RTE-PM	12-ORA-5,162-6.2/8.7
Award Date	12/04/2013
Closeout Date	01/09/2020
Work Description	CONSTRUCT HOV LANE. RECONSTRUCT RAMPS AND STRUCTURES WIDENING,
Location Description	ORANGE COUNTY FROM 0.4 MILE NORTH OF CAMINO DE ESTRELLA OVERCROSSING TO 0.2 MILE SOUTH OF SAN JUAN CREEK ROAD UNDERCROSSING
QA Service Level	1 (Verified on 02/24/2014)

Sample Taken Date	10/30/2014	Sample Unique Key	2
Date that the sample was received by the laboratory/organization performing the testing	10/30/2014	Sample type	Department Acceptance
A brief description of the sample	soil	The quantity of what the sample constitutes	1 Bag
From where was the sample collected	Source	First name of sampler or witnessed by	Parvin
Last name of sampler or witnessed by	Sebh	Title of sampler	Unknown
Telephone number of sampler	Unknown	Laboratory sample identification	14Soil0348 C874540
Linked DIME Sample ID	0	The fabricator/manufacturer/facility name	Bent 5
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)	55-0226
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	105 Elev
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: 2014-10-30-2

DIME Test ID: 2014-10-30-2-1

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

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

Test Release Date: 2014-11-05

What size aggregate is being tested?: 0.5 in. x No. 4 - Coarse Aggregate

Individual or cumulative mass retained on each sieve?: Individual 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: Thomas Stinnett

Date of test: 10/30/2014

General comments (publicly viewable) (Max 1000 characters): Sample sent to Corrosion Lab for testing.

Test was verified on 11/5/2014 ✔