Summary for Test 2022-11-30-828-6
Test performed: CTM 227-December 2014Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 11/30/2022 | Sample Unique Key | 828 |
|---|---|---|---|
| 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 | 12/01/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/2 PCC Aggregates |
| The quantity of what the sample constitutes | 1200 CY | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Marcus | Last name of sampler or witnessed by | Molina |
| Title of sampler | Telephone number of sampler | 19095343477 | |
| Laboratory sample identification | 22-11-001A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertson's Pomona | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Stage 1 Southbound |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0072 |
|---|---|---|---|
| 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 | CONVEYOR BELT | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | LB060008 | Lot number | |
| Sublot number | Aggregate Mix Number |
Test Details
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DIME Sample ID: 2022-11-30-828
DIME Test ID: 2022-11-30-828-6
Testing Lab: Kleinfelder, Incorporated - Los Angeles
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2022-12-07
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: Marcus Molina
Date of test: 12/01/2022
Cleanness value (11/2 in. maximum aggregate mix): 90
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/7/2022 ✔