Test 2019-11-04-11-3 (CTM 217-June 2011) Summary

Project Information
Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
Sample Information
Sample Taken Date11/4/2019 Sample Unique Key11
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 testing11/5/2019
Sample typeQuality Control A brief description of the samplerock and sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byDwayne Last name of sampler or witnessed byOvalle
Title of samplerQC Field Technician Laboratory sample identificationMix S62578
The fabricator/manufacturer/facility nameNational Artesia Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0027
The fabricator's/manufacturer's product name for the sampleset 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberS62578 Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-11-04-11
DIME Test ID: 2019-11-04-11-3
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Test Release Date: 2019-12-04
Test Results

Number of tests: 1
Input Type: Calculated
Tester's full name: Ronald Hernandez
Date of test: 11/05/2019
Temperature correction:0
Temperature of solution:72
Clay reading (test 1):0
Sand reading (test 1):0
Sand equivalent (test 1):83
Sand equivalent before temperature correction:0
Sand equivalent after temperature correction:83
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/04/2019