DIME - Test Summary

Summary for Test 2023-02-15-4-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 214697 DEA: 07307104 EFIS: 0714000213
DIST-CO-RTE-PM	07-LA-101-32.8
Award Date	Not set
Closeout Date	Not set
Work Description	CONSTRUCT BRIDGE.
Location Description	LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING
QA Service Level	1 (Verified on 07/12/2021)

Sample Taken Date	02/15/2023	Sample Unique Key	4
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	02/15/2023
Sample type	Quality Assurance	A brief description of the sample	1" X #4
The quantity of what the sample constitutes	32 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Kevin	Last name of sampler or witnessed by	Hopkins
Title of sampler	Plant Inspector	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	National RM Canoga Park	Transportation Laboratory (TL) Number	C021523A
Inspector Lot Number from the Transportation Laboratory (TL) Form	KH103C	Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0046
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number	National RM Canoga Park	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	S85C440T1	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-02-15-4

DIME Test ID: 2023-02-15-4-2

Testing Lab: CT D07 - Plant Services

Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)

Test Release Date: 2023-02-15

Describe the gradation of the aggregate or the test method:: All aggregate is the same size

Input Type: Measured

Tester's full name: Kevin Hopkins

Date of test: 02/15/2023

Top sediment column reading (single primary size): 0.7 in

Cleanness value (single primary size): 81

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

Test was verified on 2/15/2023 ✔