Summary for Test 2017-11-21-12-3

Test performed: CTM 217-November 2014

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS 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 Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date11/21/2017 Sample Unique Key12
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 testing11/22/2017
Sample typeQuality Control A brief description of the sampleRock and Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byBobby Last name of sampler or witnessed byTogores
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix S72500 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Ready Mix Artesia Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0027: Corona
The fabricator's/manufacturer's product name for the sampleSet 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberS72500 Lot numberNot set
Sublot numberNot set HMA Design ID

Test Details

DIME Sample ID: 2017-11-21-12
DIME Test ID: 2017-11-21-12-3
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 217-November 2014: Method of Test for Sand Equivalent
Test Release Date: 2017-12-19

Test Results


How many times will the test be run?: Once
Input Type: Calculated
Tester's full name: Francisco Miranda
Date of test: 11/22/2017
Sand Equivalent:94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/19/2017