DIME - Test Summary

Summary for Test 2021-11-03-9-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	11/03/2021	Sample Unique Key	9
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	11/05/2021
Sample type	Aggregate Prequalification Program	A brief description of the sample	1/2" Washed (1/2" X #4 CALTRANS SECTION 90)
The quantity of what the sample constitutes	3 Buckets	From where was the sample collected	Source
First name of sampler or witnessed by	Kyle	Last name of sampler or witnessed by	Portlock
Title of sampler	Lab Technician	Telephone number of sampler	6195929623
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hanson Aggregates	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)	Santee
The fabricator's/manufacturer's product name for the sample	Half Inch Washed CALTRANS SECTION 90 1/2 INCH X NO. 4	The fabricator/manufacturer designation for the sample
The plant number	016	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	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2021-11-03-9

DIME Test ID: 2021-11-03-9-1

Testing Lab: Lehigh Hanson

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2022-02-15

What size aggregate is being tested?: 0.5 in. x No. 4 - Coarse Aggregate

Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained

For Combined Gradation only, has the fine aggregate sample been reduced?: No

For Combined Gradation only, use #40 Sieve?: No

Input Type: Calculated

Tester's full name: Robert Clevenger

Date of test: 12/09/2021

General comments (publicly viewable) (Max 1000 characters): Testing lab is Twining.

Test was verified on 2/15/2022 ✔