DIME - Test Summary

Summary for Test 2023-03-02-55-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Taken Date	03/02/2023	Sample Unique Key	55
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	03/03/2023
Sample type	Quality Control	A brief description of the sample	3/8" rock and sand
The quantity of what the sample constitutes	1 Bag	From where was the sample collected	Supplier
First name of sampler or witnessed by	Glenn	Last name of sampler or witnessed by	McCall
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	Set 1	Linked DIME Sample ID
The fabricator/manufacturer/facility name	National Ready Mix Artesia	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)	91-33-0027
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	Belt Cut
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number	S72019	Lot number	1
Sublot number	1	Aggregate Mix Number

DIME Sample ID: 2023-03-02-55

DIME Test ID: 2023-03-02-55-1

Testing Lab: G3 Quality, Incorporated - Cerritos

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

Test Release Date: 2023-08-15

What size aggregate is being tested?: 0.375 in x No. 8 - Coarse 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: Glenn McCall

Date of test: 03/03/2023

Cumulative percent passing the 1/2 in. sieve: 100 %

Cumulative percent passing the 3/8 in. sieve: 97 %

Cumulative percent passing the #4 sieve: 20 %

Cumulative percent passing the #8 sieve: 4 %

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

Test was verified on 8/15/2023 ✔