DIME - Test Summary

Summary for Test 2021-05-12-56-10

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215221 DEA: 07332604 EFIS: 0716000287
DIST-CO-RTE-PM	07-LA-10-R12.4/14.9
Award Date	Not set
Closeout Date	Not set
Work Description	REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location Description	THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
QA Service Level	1 (Verified on 03/19/2021)

Sample Taken Date	05/12/2021	Sample Unique Key	56
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	06/14/2021
Sample type	Annual Source Testing	A brief description of the sample	3/8" PCC Aggregate
The quantity of what the sample constitutes	2 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 Representative	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertsons - Cabazon	Transportation Laboratory (TL) Number	4043
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)	91-33-0008::CABAZON QUARRY
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	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-05-12-56

DIME Test ID: 2021-05-12-56-10

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: 2021-06-02

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

Input Type: Calculated

Tester's full name: Sebastian Ferrer

Date of test: 05/24/2021

Cleanness value (single primary size): 94

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

Test was verified on 6/2/2021 ✔