DIME - Test Summary

Summary for Test 2023-02-22-63-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215220 DEA: 07210624 EFIS: 0719000068
DIST-CO-RTE-PM	07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date	02/05/2021
Closeout Date	Not set
Work Description	PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description	IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level	1 (Verified on 03/24/2021)

Sample Taken Date	02/22/2023	Sample Unique Key	63
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	02/24/2023
Sample type	Department Acceptance	A brief description of the sample	Coarse and fine aggregate
The quantity of what the sample constitutes	Three Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Baher	Last name of sampler or witnessed by	Fakhoury
Title of sampler		Telephone number of sampler	2137937180
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex Walnut	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)	91-36-0106
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	3/8 inch
The concrete mix design number	1610838	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-02-22-63

DIME Test ID: 2023-02-22-63-2

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: 2023-03-30

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

Input Type: Measured

Tester's full name: Baher Fakhoury

Date of test: 03/08/2023

Top sediment column reading (single primary size): 0.3 in

Cleanness value (single primary size): 91

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

Test was verified on 3/30/2023 ✔