DIME - Test Summary

Summary for Test 2019-11-06-26-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214664 DEA: 081G7404 EFIS: 0816000060
DIST-CO-RTE-PM	08-SBD-15-R110.0
Award Date	12/01/2020
Closeout Date	06/30/2021
Work Description	RECONSTRUCT EARTHEN DIKE, PLACE STRUC. STEEL BRIDGE & TORTOISE FENCE.
Location Description	BETWEEN BARSTOW AND BAKER AT 1.6 MILES SOUTH OF AFTON ROAD OVERCROSSING
QA Service Level	1 (Verified on 06/23/2021)

Sample Taken Date	11/06/2019	Sample Unique Key	26
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	11/07/2019
Sample type	Quality Assurance	A brief description of the sample	SOIL
The quantity of what the sample constitutes	2 BAGS	From where was the sample collected	Job Site
First name of sampler or witnessed by	HAKIMA	Last name of sampler or witnessed by	H
Title of sampler	TE CIVIL	Telephone number of sampler	562-665-0454
Laboratory sample identification	8818	Linked DIME Sample ID	2019-11-06-26
The fabricator/manufacturer/facility name	NATIVE	Transportation Laboratory (TL) Number	C639961
Inspector Lot Number from the Transportation Laboratory (TL) Form	S-3	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	08-SBD-15-PM110 SURFACE
Where the material sample would have been placed if not sampled	Unknown

DIME Sample ID: 2019-11-06-26

DIME Test ID: 2019-11-06-26-1

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: 2020-03-12

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: JUAN A LEROY

Date of test: 11/13/2019

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

Test was verified on 3/12/2020 ✔