DIME - Test Summary

Summary for Test 2022-04-26-5-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 99999 DEA: 0322222
DIST-CO-RTE-PM	03-SAC,OMG-888,99,80-0.6-0.6
Award Date	Not set
Closeout Date	Not set
Work Description	THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description	THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level	(Verified on 04/05/2013)

Sample Taken Date	04/26/2022	Sample Unique Key	5
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	04/26/2022
Sample type	Aggregate Prequalification Program	A brief description of the sample	1" x No. 4
The quantity of what the sample constitutes	Stockpile	From where was the sample collected	Source
First name of sampler or witnessed by	John	Last name of sampler or witnessed by	O'Mara
Title of sampler	Sampler	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	jomara fabricator	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)	XX-XX-XXXX
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	Stockpile @ Yard
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

DIME Sample ID: 2022-04-26-5

DIME Test ID: 2022-04-26-5-1

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

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

Test Release Date: 2022-04-26

What size aggregate is being tested?: 1 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: John OMara

Date of test: 04/27/2022

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

Test was verified on 4/26/2022 ✔