Test 2021-10-05-16-2 (CTM 217-June 2011) Summary

Project Information
Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Work DescriptionSegment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, headed rebar, welded hoops, column pins.
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
Sample Information
Sample Taken Date10/5/2021 Sample Unique Key16
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 testing10/5/2021
Sample typeQuality Control A brief description of the sample`1", 3/8" , sand
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byTim Last name of sampler or witnessed byReyes
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameHanson - Goleta Transportation Laboratory (TL) Number
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)91-42-0003
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number725A1Z0P Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-10-05-16
DIME Test ID: 2021-10-05-16-2
Testing Lab: Sequoia Consultant
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Test Release Date: 2021-10-07
Test Results

Number of tests: 2
Input Type: Calculated
Tester's full name: Tim Reyes
Date of test: 10/05/2021
Temperature correction:0
Temperature of solution:72
Clay reading (test 1):5.6
Sand reading (test 1):4.5
Clay reading (test 2):5.6
Sand reading (test 2):4.5
Sand equivalent (test 1):81
Sand equivalent (test 2):81
Sand equivalent before temperature correction:90
Sand equivalent after temperature correction:90
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/07/2021