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Testing Report for 2021-09-17-41-3

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

Project Information

DEA: APP
EFIS: 0019000052
Project ID: 66666
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: 2021-09-17-41
TL Number from the TL Form:
Sample Submitted By Organization: RMA Group
Sample Organization Contact: (909) 989-1751
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 9/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/17/2021
The quantity of what the sample constitutes: 2 Bags of WCS, 3 Bags of 3/4" and 3 Bags of 1"
A brief description of the sample: WCS, 3/4" and 1" Aggregate
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel

Material Information

Source Identification (SMARA or name of Pit): NA
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: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2021-09-17-41-3
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Date Tested: 10/1/2021
Verified Date: 10/19/2021
Submitted By Organization: RMA Group
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Cleanness value (11/2 in. maximum aggregate mix): 97