DIME - Test Summary

Summary for Test 2024-01-17-39-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	01/17/2024	Sample Unique Key	39
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	01/17/2024
Sample type	Aggregate Prequalification Program	A brief description of the sample	1x4 Aggregate
The quantity of what the sample constitutes	1 50lb Bag of Aggregate	From where was the sample collected	Source
First name of sampler or witnessed by	Justin	Last name of sampler or witnessed by	Yettou
Title of sampler	Field Technician	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID	2024-01-17-35
The fabricator/manufacturer/facility name	Martin Marietta - Santee	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)	N/A - Sycamore Landfill
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	Stockpile/Sample Pad
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Sample ID: 2024-01-17-39

DIME Test ID: 2024-01-17-39-1

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2024-02-22

What size aggregate is being tested?: 1 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?: Yes

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

Input Type: Calculated

Tester's full name: Siegfried Mendoza

Date of test: 01/22/2024

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

Test was verified on 2/22/2024 ✔