Summary for Test 2022-03-17-63-9
Test performed: CTM 227-December 2014Project 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 | 03/17/2022 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 04/07/2022 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Cemex White Mountain 1x4 |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Albert | Last name of sampler or witnessed by | Segura |
| Title of sampler | Quality Control Supervisor | Telephone number of sampler | 9094368680 |
| Laboratory sample identification | Cemex White Mountain 1x4 | Linked DIME Sample ID | 2022-03-17-54 |
| The fabricator/manufacturer/facility name | Cemex White Mountain | 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) | 91-36-0106 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Cemex White Mountain 1x4 | The fabricator/manufacturer designation for the sample | 1x4 |
| The plant number | 4423 | A detailed description of where the material sample was collected | Stock Pile |
| 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 |
Test Details
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DIME Sample ID: 2022-03-17-63
DIME Test ID: 2022-03-17-63-9
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2022-05-19
Test Results
Describe the gradation of the aggregate or the test method:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Robert Jarquin
Date of test: 04/22/2022
Cleanness value (11/2 in. maximum aggregate mix): 91
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/19/2022 ✔