DIME - Test Summary

Summary for Test 2015-12-09-6-1

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 210066 DEA: 04259404 EFIS: 0400000723
DIST-CO-RTE-PM	04-NAP-29-25.5/28.4
Award Date	03/17/2015
Closeout Date	12/14/2017
Work Description	OVERLAY, ROADWAY WIDENING AND CONSTRUCT TWO-WAY LEFT-TURN LANES.
Location Description	NAPA COUNTY IN AND NEAR ST. HELENA FROM MEE LANE TO 0.1 MILE SOUTH OF SULPHUR CREEK BRIDGE
QA Service Level	1 (Verified on 08/21/2015)

Sample Taken Date	12/09/2015	Sample Unique Key	6
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	01/20/2016
Sample type	Annual Source Testing	A brief description of the sample	1 x 4 PCC Aggregates
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Source
First name of sampler or witnessed by	Mark	Last name of sampler or witnessed by	Plant Employee
Title of sampler	QC	Telephone number of sampler	Unknown
Laboratory sample identification	16CPCC-0023	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Cemex Madison	Transportation Laboratory (TL) Number	C872952
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-57-0008
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	Unknown
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: 2015-12-09-6

DIME Test ID: 2015-12-09-6-1

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate

Test Release Date: 2016-02-25

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Tom Stinnett

Date of test: 02/05/2016

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data

Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data

Percentage Loss of material retained on 1 x ¾ in. sieve: no data

Percentage Loss of material retained on ¾ x ½ in. sieve: no data

Percentage Loss of material retained on ½ x ⅜ in. sieve: no data

Percentage Loss of material retained on ⅜ in. x #4 sieve: no data

Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data

Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data

Percentage Loss of material retained on 3/4 in. through #4 sieve: no data

Weighted Average Percent Loss of Coarse Aggregate: 1.8 %

Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum): no data

Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum): no data

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

Test was verified on 2/25/2016 ✔