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Testing Report for 2021-01-18-7-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

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: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-01-18-7
TL Number from the TL Form:
Sample Submitted By Organization: CEMEX - Rockfield
Sample Organization Contact: (559) 477-6228
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 01/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/18/2021
The quantity of what the sample constitutes: 6 buckets
A brief description of the sample: 1x4 Gravel
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Rockfield

Material Information

Source Identification (SMARA or name of Pit): 91-10-0014
The fabricator's/manufacturer's product name for the sample: 1x4 Gravel
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile
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:

Test Information

DIME Test ID: 2021-01-18-7-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 03/29/2021
Date Tested: 01/18/2021
Submitted By Organization: CEMEX - Rockfield
Organization Address: 13475 N. Friant Road,
Organization City: Friant
Organization State: CA
Organization Zipcode: 93626
Organization Email: anthonys.myers@cemex.com
Organization Phone: (559) 477-6228
General Comments for this Test:
Additional Comments When Verified:

Submitted Test Results

Cleanness value (11/2 in. maximum aggregate mix) 86