Summary for Test 2019-12-01-25-4
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 | 12/01/2019 | Sample Unique Key | 25 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/06/2020 | Sample type | Aggregate Prequalification Program |
| A brief description of the sample | Concrete agg 3/8" Crushed | The quantity of what the sample constitutes | 2 buckets |
| From where was the sample collected | Source | First name of sampler or witnessed by | Jordan |
| Last name of sampler or witnessed by | Baker | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 20-APPC-0043 - retest 20-APPC-0061 from new sample | |
| Linked DIME Sample ID | 2019-12-01-2 | The fabricator/manufacturer/facility name | Deer Creek Rock and Aspahlt |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
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 | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile sample by loader bucket |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2019-12-01-25
DIME Test ID: 2019-12-01-25-4
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2020-05-01
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: Ryan Kester
Date of test: 04/09/2020
Cleanness value (11/2 in. maximum aggregate mix): 81
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/1/2020 ✔