DIME - Test Summary

Summary for Test 2020-10-12-11-9

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214848 DEA: 081H3414 EFIS: 0818000172
DIST-CO-RTE-PM	08-SBD-210,215,259-Various
Award Date	05/07/2020
Closeout Date	10/13/2022
Work Description	PLACE RHMA-G, COLD PLANE AC AND REPLACE AC SURFACING.
Location Description	SAN BERNARDINO COUNTY ON ROUTE 210, 215 AND 259 AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 07/20/2020)

Sample Taken Date	10/12/2020	Sample Unique Key	11
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	10/13/2020
Sample type	Verification	A brief description of the sample	PSUE 3/4" HMA-A-SP R15 No LAS
The quantity of what the sample constitutes	4 Bags Coldfeed Agg., 2 Bags Rap	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Cezar	Last name of sampler or witnessed by	All American Asphalt QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0594A-20	Linked DIME Sample ID
The fabricator/manufacturer/facility name	All American Asphalt - Corona	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)	91-33-0005
The fabricator's/manufacturer's product name for the sample	3/4 HMA-A-SP R15	The fabricator/manufacturer designation for the sample
The plant number	105927	A detailed description of where the material sample was collected	Belt Cut at All American Corona Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2020-10-12-11

DIME Test ID: 2020-10-12-11-9

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: 2020-10-19

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: Satish Jain

Date of test: 10/18/2020

General comments (publicly viewable) (Max 1000 characters): RAP Gradation After Ignition Oven

Test was verified on 10/19/2020 ✔