DIME - Test Summary

Summary for Test 2019-03-08-16-5

Test performed: CTM 214-August 2010

Project Identifiers	Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670
DIST-CO-RTE-PM	12-ORA-405,73,405,605-9.3/24.3
Award Date	11/07/2016
Closeout Date	Not set
Work Description	(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description	Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level	1 (Verified on 09/10/2015)

Sample Taken Date	03/08/2019	Sample Unique Key	16
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	03/08/2019
Sample type	Annual Source Testing	A brief description of the sample	1" x #4
The quantity of what the sample constitutes	Annual production	From where was the sample collected	Source
First name of sampler or witnessed by	Greg	Last name of sampler or witnessed by	Vinson
Title of sampler	Technical Services Area Manager	Telephone number of sampler	(510)378-2044
Laboratory sample identification	2019-01B	Linked DIME Sample ID
The fabricator/manufacturer/facility name	White Mountain-Victorville	Transportation Laboratory (TL) Number	District 12
Inspector Lot Number from the Transportation Laboratory (TL) Form	2019-01B	Structure unique identifier	Not set
Structure name	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-36-0106::WHITE MOUNTAIN QUARRY
The fabricator's/manufacturer's product name for the sample	1 x 4	The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Belt cut of Coarse and Fine Aggregate at Source
Where the material sample would have been placed if not sampled	Ready Mix Concrete	Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Sample ID: 2019-03-08-16

DIME Test ID: 2019-03-08-16-5

Testing Lab: CEMEX - Central & Southern California

Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate

Test Release Date: 2019-03-29

What size aggregate is being tested?: Coarse Aggregate

Input Type: Calculated

Tester's full name: Loi Nguyen

Date of test: 03/20/2019

Percentage Loss of material retained on 2 x 1 ½ in. sieve: 0.0 %

Percentage Loss of material retained on 1 ½ x 1 in. sieve: 0.0 %

Percentage Loss of material retained on 1 x ¾ in. sieve: 0.3 %

Percentage Loss of material retained on ¾ x ½ in. sieve: 0.4 %

Percentage Loss of material retained on ½ x ⅜ in. sieve: 0.3 %

Percentage Loss of material retained on ⅜ in. x #4 sieve: 0.1 %

Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data

Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data

Percentage Loss of material retained on 3/4 in. through #4 sieve: no data

Weighted Average Percent Loss of Coarse Aggregate: 1.1 %

Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum): no data

Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum): no data

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

Test was verified on 3/22/2019 ✔