DIME - Test Summary

Summary for Test 2020-04-03-21-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	04/03/2020	Sample Unique Key	21
Date that the sample was received by the laboratory/organization performing the testing	04/06/2020	Sample type	Aggregate Prequalification Program
A brief description of the sample	1 x 4 PCC Aggregate	The quantity of what the sample constitutes	12 Bags
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Marc
Last name of sampler or witnessed by	Segura	Title of sampler	Quality Control
Telephone number of sampler		Laboratory sample identification	9695
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Cemex Plant 4423
Transportation Laboratory (TL) Number		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)	91-36-0106::WHITE MOUNTAIN QUARRY
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	Stockpile at Plant
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2020-04-03-21

DIME Test ID: 2020-04-03-21-1

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: 2020-05-05

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: Edmond Jabbour

Date of test: 04/16/2020

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

Test was verified on 5/5/2020 ✔