DIME - Test Summary

Summary for Test 2022-05-02-23-6

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 215299 DEA: 07260804 EFIS: 0712000104
DIST-CO-RTE-PM	07-LA-10,405-16.6/30.1,4.8/8.7
Award Date	01/29/2021
Closeout Date	03/05/2024
Work Description	CONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS.
Location Description	LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING
QA Service Level	1 (Verified on 04/05/2021)

Sample Taken Date	05/02/2022	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	05/03/2022
Sample type	Acceptance	A brief description of the sample	1x4 PCC Aggregates
The quantity of what the sample constitutes	40 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Victor	Last name of sampler or witnessed by	Pham
Title of sampler	TET	Telephone number of sampler	2137924794
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Associated Signal Hill	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)	91-19-0054
The fabricator's/manufacturer's product name for the sample	PCC mix	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	Channel liner	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	557237	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2022-05-02-23

DIME Test ID: 2022-05-02-23-6

Testing Lab: CT D07 - Plant Services

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

Test Release Date: 2022-05-09

Number of tests: 2

Input Type: Measured

Tester's full name: Victor Pham

Date of test: 05/06/2022

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 4.7

Sand reading (test 1): 4.2

Clay reading (test 2): 4.2

Sand reading (test 2): 3.8

Sand equivalent (test 1): 90

Sand equivalent (test 2): 91

Sand equivalent before temperature correction: 91

Sand equivalent after temperature correction: 91

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

Test was verified on 5/9/2022 ✔