DIME - Test Summary

Summary for Test 2021-10-31-6-3

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215360 DEA: 112N0454 EFIS: 1118000198
DIST-CO-RTE-PM	11-SD-94-30.0/39.0
Award Date	02/18/2021
Closeout Date	08/02/2022
Work Description	PLACING CHIP SEAL, SLURRY SEAL, SHOULDER BACKING AND STRIPING.
Location Description	SAN DIEGO COUNTY NEAR DULZURA AND BARRETT JUNCTION FROM 0.9 MILE EAST OF GRANDE CREEK BRIDGE TO ROUTE 188.
QA Service Level	1 (Verified on 02/08/2021)

Sample Taken Date	10/31/2021	Sample Unique Key	6
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	11/26/2021
Sample type	Quality Control	A brief description of the sample	Chip Aggregate
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Source
First name of sampler or witnessed by	Not Provided	Last name of sampler or witnessed by	Not Provided
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	CCA	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)	CCA
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	Plant
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: 2021-10-31-6

DIME Test ID: 2021-10-31-6-3

Testing Lab: CT D11 - District 11 Materials Laboratory

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

Test Release Date: 2022-01-13

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

Input Type: Calculated

Tester's full name: Mohammad Abbassi

Date of test: 12/30/2021

Cleanness value (single primary size): 94

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

Test was verified on 1/13/2022 ✔