DIME - Test Summary

Summary for Test 2020-03-12-16-1

Test performed: CTM 202-November 2011

Project Identifiers	Project ID: 214466 DEA: 081F1414 EFIS: 0815000231
DIST-CO-RTE-PM	08-RIV-15-15-54.2/54.3
Award Date	01/02/2020
Closeout Date	05/26/2022
Work Description	Slab & lane replacement with JPCP & precast conc pavement, place HMA.
Location Description	Riverside and San Diego County
QA Service Level	1 (Verified on 03/20/2020)

Sample Taken Date	03/12/2020	Sample Unique Key	16
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	03/17/2020
Sample type	Aggregate Prequalification Program	A brief description of the sample	1" Aggregeate for Source Verificaiton
The quantity of what the sample constitutes	4 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Marc	Last name of sampler or witnessed by	Segura
Title of sampler	QC Rep	Telephone number of sampler
Laboratory sample identification	9539	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cemex Redlands	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-36-0068::REDLANDS WASH PLAN (CEMEX)
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	Site
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2020-03-12-16

DIME Test ID: 2020-03-12-16-1

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: 2020-05-26

What size aggregate is being tested?: 1 in. x No. 4 - Coarse Aggregate

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: Husni Ankir

Date of test: 03/27/2020

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

Test was verified on 5/26/2020 ✔