DIME - Test Summary

Summary for Test 2014-12-31-2-2

Test performed: CTM 217-June 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	12/31/2014	Sample Unique Key	2
Date that the sample was received by the laboratory/organization performing the testing	01/06/2015	Sample type	Department Acceptance
A brief description of the sample	Structure Backfill	The quantity of what the sample constitutes	1 Bag
From where was the sample collected	Other	First name of sampler or witnessed by	Unknown
Last name of sampler or witnessed by	Choi	Title of sampler	ASR
Telephone number of sampler	Unknown	Laboratory sample identification	5000B
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	Jobsite
Transportation Laboratory (TL) Number	C686458	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)	SW corner of Burbank Blvd
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	Jobsite
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: 2014-12-31-2

DIME Test ID: 2014-12-31-2-2

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2015-02-23

Number of tests: 1

Input Type: Calculated

Tester's full name: Vincent Onoh

Date of test: 01/08/2015

Temperature correction: no data

Temperature of solution: no data

Clay reading (test 1): no data

Sand reading (test 1): no data

Sand equivalent (test 1): no data

Sand equivalent before temperature correction: no data

Sand equivalent after temperature correction: 52

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

Test was verified on 2/23/2015 ✔