DIME - Test Summary

Summary for Test 2023-05-06-12-3

Test performed: AASHTO T11-5

Project Identifiers	Project ID: 215634 DEA: 074W8004 EFIS: 0719000298
DIST-CO-RTE-PM	07-VEN-33,101,118-Var
Award Date	05/21/2021
Closeout Date	12/01/2023
Work Description	FURNISH AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE DECK.
Location Description	VENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 08/02/2021)

Sample Taken Date	05/06/2023	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	05/08/2023
Sample type	Acceptance	A brief description of the sample	3/4 HMA-A
The quantity of what the sample constitutes	350 tons	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		Telephone number of sampler	2137924794
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granite - Santa Paula	Transportation Laboratory (TL) Number	0506A1
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)	91-19-0046
The fabricator's/manufacturer's product name for the sample	3/4 HMA-A	The fabricator/manufacturer designation for the sample	mix 13762
The plant number	Santa Paula	A detailed description of where the material sample was collected	Belt Discharge
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	13762	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-05-06-12

DIME Test ID: 2023-05-06-12-3

Testing Lab: CT D07 - Plant Services

Test Method: AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing

Test Release Date: 2023-05-24

Input Type: Measured

Tester's full name: A.Truong

Date of test: 05/12/2023

Which test procedure is being used: Method A

Mass of test sample (before test): 253 grams

Mass of test sample (after test): 250 grams

Percent of sample passing the #200 sieve (by mass): 1.2 %

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

Test was verified on 5/24/2023 ✔