DIME - Test Summary

Summary for Test 2020-03-11-42-1

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	03/11/2020	Sample Unique Key	42
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	03/11/2020
Sample type	Aggregate Prequalification Program	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	2 Sample Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Marc	Last name of sampler or witnessed by	Segura
Title of sampler	QC Representative	Telephone number of sampler	9094368680
Laboratory sample identification	Cemex- Moorpark-WCS	Linked DIME Sample ID	2020-03-11-24
The fabricator/manufacturer/facility name	Cemex - Moorpark	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)	91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	4425	A detailed description of where the material sample was collected	Plant Stockpile
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	fine
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2020-03-11-42

DIME Test ID: 2020-03-11-42-1

Testing Lab: CEMEX - Central & Southern California

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

Test Release Date: 2020-07-06

What size aggregate is being tested?: Fine 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: Marc Segura

Date of test: 03/11/2020

General comments (publicly viewable) (Max 1000 characters): CEMEX-MOORPARKPLANT 4425 DIME SAMPLE ID# 2020-03-11-24

Test was verified on 7/6/2020 ✔