DIME - Test Summary

Summary for Test 2021-11-21-2-1

Test performed: AASHTO T11-5

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	11/21/2021	Sample Unique Key	2
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 Assurance	A brief description of the sample	Slurry type III
The quantity of what the sample constitutes	1 bag	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	Not Provided	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)	Not Provided
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	Slurry Type III
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: 2021-11-21-2

DIME Test ID: 2021-11-21-2-1

Testing Lab: CT D11 - District 11 Materials Laboratory

Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing

Test Release Date: 2022-01-11

Input Type: Measured

Tester's full name: Mohammad Abbassi

Date of test: 01/04/2022

Which test procedure is being used: Method A

Mass of test sample (before test): 475 grams

Mass of test sample (after test): 467.1 grams

Percent of sample passing the #200 sieve (by mass): 1.7 %

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

Test was verified on 1/11/2022 ✔