DIME - Test Summary

Summary for Test 2016-05-12-7-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 209732 DEA: 072881U4 EFIS: 0714000085
DIST-CO-RTE-PM	07-LA-210-R16.1/R25.8
Award Date	02/06/2015
Closeout Date	02/18/2020
Work Description	CONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS.
Location Description	LOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING
QA Service Level	1 (Verified on 11/04/2014)

Sample Taken Date	05/12/2016	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	05/12/2016
Sample type	Department Acceptance	A brief description of the sample	Class 3 Aggregate Base
The quantity of what the sample constitutes	2 Bags	From where was the sample collected	Job Site
First name of sampler or witnessed by	Arnold	Last name of sampler or witnessed by	Troung
Title of sampler	MREA	Telephone number of sampler	Unknown
Laboratory sample identification	6167B	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	NA	Transportation Laboratory (TL) Number	C 641748
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	Unknown
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Stockpile at 210 FWY
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Sample ID: 2016-05-12-7

DIME Test ID: 2016-05-12-7-1

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2019-10-15

What size aggregate is being tested?: Combined Gradation

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: MD Shahjahan

Date of test: 05/16/2016

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

Test was verified on 10/15/2019 ✔