DIME - Test Summary

Summary for Test 2021-04-19-34-10

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215302 DEA: 120M82A4 EFIS: 1219000036
DIST-CO-RTE-PM	12-ORA-1-7.9/10.5, 10.3/10.5
Award Date	Not set
Closeout Date	07/25/2023
Work Description	A NEW PRIME CONTRACTOR HAS BEEN ASSIGNED. THE NEW CONTRACT NUMBER IS 12-0M82C4.
Location Description	ORANGE COUNTY IN LAGUNA BEACH FROM LEDROIT STREET TO RUBY STREET
QA Service Level	1 (Verified on 12/14/2020)

Sample Taken Date	04/19/2021	Sample Unique Key	34
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	04/21/2021
Sample type	Annual Source Testing	A brief description of the sample	3/8" PCC Aggregate
The quantity of what the sample constitutes	4 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Chris	Last name of sampler or witnessed by	Hindman
Title of sampler	QC Technician	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertsons - Corona	Transportation Laboratory (TL) Number	3855
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)	91-33-0061
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 @ Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-04-19-34

DIME Test ID: 2021-04-19-34-10

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)

Test Release Date: 2021-05-12

Describe the gradation of the aggregate or the test method:: All aggregate is the same size

Input Type: Calculated

Tester's full name: Larry Diaz

Date of test: 05/10/2021

Cleanness value (single primary size): 75

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

Test was verified on 5/12/2021 ✔