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Sample Record for 2018-10-03-27


Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-10-03-27
TL Number from the TL Form:
Sample Submitted By Organization: CT SC Sub-unit 3668-105
Sample Organization Contact:
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 10/03/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: Testing for APP
A brief description of the sample: Testing for APP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): Testing for APP
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: Testing for APP
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Test Information 3 of 5

DIME Test ID: 2018-10-03-27-3
Test Method: AGGLP -1: Soils for Corrosion Sieve Analysis
Verified Date: 01/28/2019
Date Tested: 10/04/2018
Submitted By Organization: CT SC Sub-unit 3668-105
Organization Address:
Test General Comments:
Additional Comments When Verified:
Cumulative percent passing the 2 in. sieve 3 %
Cumulative percent passing the 1 1/2 in. sieve 3 %
Cumulative percent passing the 1 in. sieve 3 %
Cumulative percent passing the 3/4 in. sieve 3 %
Cumulative percent passing the 1/2 in. sieve 3 %
Cumulative percent passing the 3/8 in. sieve 3 %
Cumulative percent passing the #4 sieve 3 %
Cumulative percent passing the #8 sieve 3.3 %