DIME - Test Summary

Summary for Test 2023-08-07-9-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214573 DEA: 073096U4 EFIS: 0719000091
DIST-CO-RTE-PM	07-LA-210-R0.0/R9.7
Award Date	04/03/2020
Closeout Date	06/06/2024
Work Description	PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 06/05/2020)

Sample Taken Date	08/07/2023	Sample Unique Key	9
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	08/07/2023
Sample type	Department Acceptance	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	20 CY	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Honesto	Last name of sampler or witnessed by	Castillo
Title of sampler	MREAS	Telephone number of sampler	12134537563
Laboratory sample identification	38B	Linked DIME Sample ID	2023-08-07-8
The fabricator/manufacturer/facility name	Holliday Rock Sun Valley	Transportation Laboratory (TL) Number	C006694
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0001
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample	Washed Concrete Sand
The plant number	19	A detailed description of where the material sample was collected	Belt Cut at Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number	4F36H500	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2023-08-07-9

DIME Test ID: 2023-08-07-9-1

Testing Lab: CT D07 - Plant Services

Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates

Test Release Date: 2023-08-28

What size aggregate is being tested?: Fine Aggregate

Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained

For Combined Gradation only, has the fine aggregate sample been reduced?: No

For Combined Gradation only, use #40 Sieve?: No

Input Type: Calculated

Tester's full name: Honesto Castillo

Date of test: 08/07/2023

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

Test was verified on 8/28/2023 ✔