DIME - Test Summary

Summary for Test 2024-01-05-16-2

Test performed: CTM 202-November 2011

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	01/05/2024	Sample Unique Key	16
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	10/05/2024
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregate
The quantity of what the sample constitutes	150 Cy	From where was the sample collected	Job Site
First name of sampler or witnessed by	Hussaya	Last name of sampler or witnessed by	Leelakitrungruang
Title of sampler	Field Materials Tester	Telephone number of sampler	6265343017
Laboratory sample identification	24-01-002	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vanguard at the 57 Freeway	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)	91-36-0040
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	1 inch
The concrete mix design number	1610838	Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2024-01-05-16

DIME Test ID: 2024-01-05-16-2

Testing Lab: Kleinfelder, Incorporated - Los Angeles

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

Test Release Date: 2024-01-08

What size aggregate is being tested?: 0.5 in. x No. 4 - 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: Hussaya Leelakitrungruang

Date of test: 01/06/2024

Cumulative percent passing the 3/4 in. sieve: 100 %

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

Cumulative percent passing the 3/8 in. sieve: 86 %

Cumulative percent passing the #4 sieve: 9 %

Cumulative percent passing the #8 sieve: 2 %

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

Test was verified on 1/8/2024 ✔