DIME - Test Summary

Summary for Test 2021-11-09-50-1

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 214114 DEA: 040A5394 EFIS: 0418000244
DIST-CO-RTE-PM	04-SOL-80,12-11.4/12.8, 2.1/2.8
Award Date	Not set
Closeout Date	02/24/2023
Work Description	Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location Description	I-80/I-680/Route 12 Interchange
QA Service Level	1 (Verified on 04/23/2019)

Sample Taken Date	11/09/2021	Sample Unique Key	50
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	12/21/2021
Sample type	Annual Source Testing	A brief description of the sample	1 Coarse Aggregate
The quantity of what the sample constitutes	4-bags individual size	From where was the sample collected	Source
First name of sampler or witnessed by	Plant	Last name of sampler or witnessed by	Plant
Title of sampler	QC Lab	Telephone number of sampler
Laboratory sample identification	21-PCCC-0218	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex Cache Creek Plant	Transportation Laboratory (TL) Number	C044056
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)	91-57-0008
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	Source
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-11-09-50

DIME Test ID: 2021-11-09-50-1

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate

Test Release Date: 2022-01-13

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Bang Nguyen

Date of test: 01/13/2022

Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data

Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data

Percentage Loss of material retained on 1 x ¾ in. sieve: no data

Percentage Loss of material retained on ¾ x ½ in. sieve: no data

Percentage Loss of material retained on ½ x ⅜ in. sieve: no data

Percentage Loss of material retained on ⅜ in. x #4 sieve: no data

Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data

Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data

Percentage Loss of material retained on 3/4 in. through #4 sieve: no data

Weighted Average Percent Loss of Coarse Aggregate: 2.2 %

Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum): no data

Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum): no data

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

Test was verified on 1/13/2022 ✔