DIME - Test Summary

Summary for Test 2021-06-14-43-5

Test performed: CTM 211-May 2010

Project Identifiers	Project ID: 215250 DEA: 021J4404 EFIS: 0220000079
DIST-CO-RTE-PM	02-MOD-299-20.0/23.1,23.5/24.5,33.5/37.5
Award Date	12/14/2020
Closeout Date	09/27/2021
Work Description	ASPHALT RUBBER CHIP SEAL.
Location Description	MODOC COUNTY AT VARIOUS LOCATIONS FROM 1.8 MILES WEST OF ROUTE 139 TO 0.3 MILE WEST OF RATTLESNAKE CREEK BRIDGE
QA Service Level	1 (Verified on 10/30/2020)

Sample Taken Date	06/14/2021	Sample Unique Key	43
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	06/22/2021
Sample type	Acceptance	A brief description of the sample	1 bag of Uncoated 3/8″ Aggregate for use in ARB Chip Seal
The quantity of what the sample constitutes	1/2 day to whole project	From where was the sample collected	Other
First name of sampler or witnessed by	Cindy	Last name of sampler or witnessed by	Bryant
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification	D78852	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Eagle Peak Rock and Paving, Alturas, CA	Transportation Laboratory (TL) Number	853350
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)	Eagle Peak
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Unknown
Where the material sample would have been placed if not sampled	02 MOD 299	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number	Not Applicable	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2021-06-14-43

DIME Test ID: 2021-06-14-43-5

Testing Lab: CT D02 - Redding Northern Regional Laboratory

Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine

Test Release Date: 2022-01-28

How many revolutions are required?: Both Tests

Input Type: Measured

Tester's full name: Dennis Hickey

Date of test: 06/23/2021

Grading: C

Mass of sample: 5000 grams

Mass retained No. 4 sieve (100 Rev Test): 0 grams

Mass retained No. 12 sieve (100 Rev Test): 4833 grams

Mass retained No. 4 sieve (500 Rev Test): 0 grams

Mass retained No. 12 sieve (500 Rev Test): 4218 grams

Percent wear (100 Rev Test): 3 %

Percent wear (500 Rev Test): 16 %

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

Test was verified on 1/28/2022 ✔