Summary for Test 2021-10-11-7-3
Test performed: CTM 227-December 2014Project Information
| Project Identifiers | Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-7.3/9.6 |
| Award Date | 10/22/2020 |
| Closeout Date | 12/11/2023 |
| Work Description | !!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, |
| Location Description | SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/24/2020) |
Sample Information
| Sample Taken Date | 10/11/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 10/11/2021 |
| Sample type | Quality Control | A brief description of the sample | 1" , 3/8" , sand |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tim | Last name of sampler or witnessed by | Reyes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Hanson - Goleta | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-42-0003 |
|---|---|---|---|
| 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 | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 725A1Z0P | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2021-10-11-7
DIME Test ID: 2021-10-11-7-3
Testing Lab: Sequoia Consultants
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-10-12
Test Results
Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Tim Reyes
Date of test: 10/11/2021
Cleanness value (single primary size): 80
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/12/2021 ✔