DIME - Test Summary

Summary for Test 2022-03-08-23-10

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 993222 DEA: 081G5204 EFIS: 0816000020
DIST-CO-RTE-PM	08-SBD-18-100.9/115.9
Award Date	10/28/2021
Closeout Date	07/27/2023
Work Description	COLD PLANE AC PAVEMENT & PLACE HMA AND MINOR CONCRETE.
Location Description	SAN BERNARDINO COUNTY IN AND NEAR ADELANTO FROM LOS ANGELES COUNTY LINE TO ROUTE 395
QA Service Level	1 (Verified on 10/04/2021)

Sample Taken Date	03/08/2022	Sample Unique Key	23
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	03/21/2022
Sample type	Verification	A brief description of the sample	JMF 1/2" HMA-A-SP R25 0.6% Evo
The quantity of what the sample constitutes	4 Bags Combined Agg., 2 Bags Rap	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Robert	Last name of sampler or witnessed by	Contreras
Title of sampler		Telephone number of sampler
Laboratory sample identification	0174A-22	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Blue Diamond-Victorville	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)	91-36-0046,91-36-0106
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	300215 R25	A detailed description of where the material sample was collected	Belt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampled	Asphalt Paving	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-03-08-23

DIME Test ID: 2022-03-08-23-10

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: 2022-04-21

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: Larry Diaz/Robert Jarquin

Date of test: 03/30/2022

General comments (publicly viewable) (Max 1000 characters): Combined Aggregate Gradation W/Rap Gradation Correlation Factors

Test was verified on 4/21/2022 ✔