Summary for Test 2021-02-05-22-3
Test performed: CTM 211-May 2010Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 02/05/2021 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 02/07/2021 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | 1"x#4 APP |
| The quantity of what the sample constitutes | about 140 lb | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jordan Baker | Last name of sampler or witnessed by | Jordan Baker |
| Title of sampler | QC Manager | Telephone number of sampler | 530-227-0982 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Deer Creek Rock and Asphalt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0021::DEER CREEK ASPHALT |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile at source | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2021-02-05-22
DIME Test ID: 2021-02-05-22-3
Testing Lab: Jaxon Enterprises - Deer Creek Rock & Asphalt
Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine
Test Release Date: 2021-03-04
Test Results
How many revolutions are required?: Both Tests
Input Type: Calculated
Tester's full name: CGI Technician
Date of test: 02/08/2021
Grading: A
Percent wear (100 Rev Test): 2 %
Percent wear (500 Rev Test): 12 %
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/4/2021 ✔