DIME - Test Summary

Summary for Test 2020-11-25-11-1

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 215218 DEA: 043E6024 EFIS: 0414000084
DIST-CO-RTE-PM	04-SF-101-6.7/8.1
Award Date	11/20/2020
Closeout Date	12/16/2021
Work Description	COLD PLANE AC PAVEMENT AND PLACE RHMA-G AND HMA (TYPE A).
Location Description	THE CITY AND COUNTY OF SAN FRANCISCO FROM VAN NESS AVENUE TO LYON STREET
QA Service Level	1 (Verified on 10/26/2020)

Sample Taken Date	11/25/2020	Sample Unique Key	11
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	05/13/2021
Sample type	Annual Source Testing	A brief description of the sample	Coarse PCC Aggregate
The quantity of what the sample constitutes	3 small bags	From where was the sample collected	Source
First name of sampler or witnessed by	Reza	Last name of sampler or witnessed by	Dineli
Title of sampler	MR	Telephone number of sampler
Laboratory sample identification	21-PCCC-0091	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Los Banos TRP	Transportation Laboratory (TL) Number	C934619
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)	91-24-0009
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	not provided
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2020-11-25-11

DIME Test ID: 2020-11-25-11-1

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: 2021-06-01

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Bang Nguyen/ Ryan Kester

Date of test: 06/01/2021

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: 12.8 %

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 6/1/2021 ✔