DIME - Test Summary

Summary for Test 2021-09-07-21-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 214321 DEA: 012982U4 EFIS: 0118000125
DIST-CO-RTE-PM	01-LAK-29,175-28.5/31.6,8.2/8.5
Award Date	11/07/2019
Closeout Date	Not set
Work Description	CONSTRUCT 4 LANE EXPRESSWAY WITH EARTHWORK AND PAVING.
Location Description	LAKE COUNTY NEAR KELSEYVILLE ON ROUTE 29 FROM 0.6 MILE TO 3.7 MILES NORTH OF ROUTE 281 AND ON ROUTE 175 FROM SOUTH JUNCTION ROUTE 29 TO 0.3 MILE EAST OF SOUTH JUNCTION ROUTE 29
QA Service Level	1 (Verified on 08/19/2019)

Sample Taken Date	09/07/2021	Sample Unique Key	21
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	09/07/2021
Sample type	Quality Control	A brief description of the sample	3/8" x #8 Aggregate
The quantity of what the sample constitutes	1 Day	From where was the sample collected	Job Site
First name of sampler or witnessed by	Jose	Last name of sampler or witnessed by	Murillo
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Point Lakeview Rock and Redi-Mix	Transportation Laboratory (TL) Number
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)	2297
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	3670538FS	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-09-07-21

DIME Test ID: 2021-09-07-21-2

Testing Lab: RMA Group - Rancho Cordova

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

Test Release Date: 2022-04-13

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

Input Type: Calculated

Tester's full name: Todd Strait

Date of test: 09/08/2021

Cleanness value (single primary size): 91

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

Test was verified on 4/13/2022 ✔