DIME - Test Summary

Summary for Test 2023-05-10-12-2

Test performed: CTM 227-December 2014

Project Identifiers	Project ID: 215396 DEA: 042K8404 EFIS: 0417000031
DIST-CO-RTE-PM	04-SOL-29,80-0.0,0.8/1.6
Award Date	03/26/2021
Closeout Date	02/16/2024
Work Description	HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description	SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level	1 (Verified on 01/25/2021)

Sample Taken Date	05/10/2023	Sample Unique Key	12
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	05/10/2023
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregate
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Plant Tech	Last name of sampler or witnessed by	Not mentioned name
Title of sampler	QC Technician	Telephone number of sampler
Laboratory sample identification	Con_23_401	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Central Concrete Martinez	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)	91-01-0010
The fabricator's/manufacturer's product name for the sample	Coarse Aggregate	The fabricator/manufacturer designation for the sample	Batch
The plant number		A detailed description of where the material sample was collected	belt cut
Where the material sample would have been placed if not sampled	barrier	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	D20115EA	Lot number
Sublot number		Aggregate Mix Number	D20115EA

DIME Sample ID: 2023-05-10-12

DIME Test ID: 2023-05-10-12-2

Testing Lab: CT D04 - Concord Field Laboratory

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

Test Release Date: 2023-05-12

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

Input Type: Measured

Tester's full name: Treavor Law

Date of test: 05/11/2023

Top sediment column reading (single primary size): 0.6 in

Cleanness value (single primary size): 84

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

Test was verified on 5/12/2023 ✔