DIME - Test Summary

Summary for Test 2021-01-05-27-1

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 214601 DEA: 041J5694 EFIS: 0419000313
DIST-CO-RTE-PM	04-SM-101-0.0/21.8
Award Date	12/03/2019
Closeout Date	09/28/2022
Work Description	San Mateo US 101 Express Lanes North
Location Description	Not set
QA Service Level	1 (Verified on 04/08/2022)

Sample Taken Date	01/05/2021	Sample Unique Key	27
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	04/01/2021
Sample type	Annual Source Testing	A brief description of the sample	1x4 Aggregates
The quantity of what the sample constitutes	4 small bags	From where was the sample collected	Source
First name of sampler or witnessed by	L	Last name of sampler or witnessed by	Magena
Title of sampler	Consultant	Telephone number of sampler
Laboratory sample identification	21-PCCC-0054	Linked DIME Sample ID
The fabricator/manufacturer/facility name	P94 Hanson	Transportation Laboratory (TL) Number	C924558
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	07-008-013
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 collected	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-01-05-27

DIME Test ID: 2021-01-05-27-1

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: 2021-04-16

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Ryan Kester/ Jay Horton

Date of test: 04/16/2021

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: 0.5 %

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 4/16/2021 ✔