DIME - Test Summary

Summary for Test 2019-06-18-18-2

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214338 DEA: 080G7904 EFIS: 0814000176
DIST-CO-RTE-PM	08-SBD,RIV-71-R0.0/R8.5,R0.0/G3.0
Award Date	10/08/2020
Closeout Date	11/01/2023
Work Description	INSTALL RMS,CCTV,CMS,VDS & FIBER OPTIC COMM SYSTEM (PSR ONLY
Location Description	SAN BERNARDINO AND RIVERSIDE COUNTIES IN AND NEAR CHINO AND CHINO HILLS FROM LOS ANGELES COUNTY LINE TO ROUTE 91
QA Service Level	1 (Verified on 06/23/2021)

Sample Taken Date	06/18/2019	Sample Unique Key	18
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	08/08/2019
Sample type	Per Request	A brief description of the sample	Soil
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Job Site
First name of sampler or witnessed by	Hakima	Last name of sampler or witnessed by	Hossainzadeh
Title of sampler	TE	Telephone number of sampler	213-620-2791
Laboratory sample identification	8679	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Caltrans	Transportation Laboratory (TL) Number	C-2
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Soil	The fabricator's/manufacturer's product name for the sample	Unknown
The fabricator/manufacturer designation for the sample	Unknown	A detailed description of where the material sample was collected	Boring Number RC-19-004, Sample No. S-2
Where the material sample would have been placed if not sampled	Unknown

DIME Sample ID: 2019-06-18-18

DIME Test ID: 2019-06-18-18-2

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: 2019-09-20

What size aggregate is being tested?: Combined Gradation

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: Kiet Phan

Date of test: 08/10/2019

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

Test was verified on 9/20/2019 ✔