DIME - Test Summary

Summary for Test 2022-04-14-28-2

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Taken Date	04/14/2022	Sample Unique Key	28
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	04/15/2022
Sample type	Quality Assurance	A brief description of the sample	PCC Aggregate
The quantity of what the sample constitutes	1020 cy	From where was the sample collected	Source
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Security Paving Company	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)	91-19-0025
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	Conveyor Belt
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number	G3-19-PCC-001	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-04-14-28

DIME Test ID: 2022-04-14-28-2

Testing Lab: CT D07 - Plant Services

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2022-04-18

Number of tests: 2

Input Type: Measured

Tester's full name: Avo Karajian

Date of test: 04/15/2022

Temperature correction: 0

Temperature of solution: 75

Clay reading (test 1): 5

Sand reading (test 1): 4.4

Clay reading (test 2): 5

Sand reading (test 2): 4.4

Sand equivalent (test 1): 88

Sand equivalent (test 2): 88

Sand equivalent before temperature correction: 88

Sand equivalent after temperature correction: 88

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

Test was verified on 4/18/2022 ✔