Test 2021-05-12-56-6 (CTM 202-November 2011) Summary

Project Information
Project IdentifiersProject ID: 215221
DEA: 07332604
EFIS: 0716000287
DIST-CO-RTE-PM07-LA-10-R12.4/14.9
Work DescriptionREMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location DescriptionTHE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
Sample Information
Sample Taken Date5/12/2021 Sample Unique Key56
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 testing6/14/2021
Sample typeAnnual Source Testing A brief description of the sample3/8" PCC Aggregate
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of samplerQC Representative Laboratory sample identification
The fabricator/manufacturer/facility nameRobertsons - Cabazon Transportation Laboratory (TL) Number4043
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0008
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-05-12-56
DIME Test ID: 2021-05-12-56-6
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Test Release Date: 2021-06-02
Test Results

What size aggregate is being tested?: 0.375 in x No. 8 - Coarse Aggregate
Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained
Input Type: Calculated
Tester's full name: Dominic Montemayor
Date of test: 06/01/2021
Cumulative percent passing the 1/2 in. sieve:100 %
Cumulative percent passing the 3/8 in. sieve:99 %
Cumulative percent passing the #4 sieve:24 %
Cumulative percent passing the #8 sieve:4 %
General comments (publicly viewable) (Max 1000 characters): This was a retest. first trial failed the gradation on passing the #4 sieve..

Test was verified on 06/02/2021