DIME - Test Summary

Summary for Test 2018-08-31-11-4

Test performed: CTM 217-June 2011

Project Identifiers	Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663
DIST-CO-RTE-PM	07-LA-710-6.0-9.4
Award Date	09/02/2011
Closeout Date	Not set
Work Description	Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description	Port of Long Beach (District 7)
QA Service Level	1 (Verified on 06/03/2013)

Sample Taken Date	08/31/2018	Sample Unique Key	11
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	09/07/2018
Sample type	Quality Assurance	A brief description of the sample	Fine Aggregate Sand
The quantity of what the sample constitutes	1 bag wcs	From where was the sample collected	Source
First name of sampler or witnessed by	Seifu	Last name of sampler or witnessed by	Mersha
Title of sampler	TET	Telephone number of sampler	Unknown
Laboratory sample identification	18-0124	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	A A Signal Hill	Transportation Laboratory (TL) Number	C923562
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	not supply
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	A A signal Hill
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	fine
The concrete mix design number	LWSBS5A	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set
HMA Pay	No

DIME Sample ID: 2018-08-31-11

DIME Test ID: 2018-08-31-11-4

Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory

Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent

Test Release Date: 2018-10-04

Number of tests: 1

Input Type: Calculated

Tester's full name: Bang Nguyen

Date of test: 09/24/2018

Temperature correction: 0

Temperature of solution: 72

Clay reading (test 1): 5.3

Sand reading (test 1): 4.4

Sand equivalent (test 1): 83

Sand equivalent before temperature correction: 83

Sand equivalent after temperature correction: 83

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

Test was verified on 10/4/2018 ✔