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Testing Report for 2020-02-12-38-4

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

Project Information

EFIS: 0019000052
Project ID: 66666
QA Service Level:
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: 2020-02-12-38
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: 2/12/2020
Date that the sample was received by the laboratory/organization performing the testing: 2/12/2020
The quantity of what the sample constitutes: 4 Bags
A brief description of the sample: 3/4" Crushed
From where was the sample collected: Manufacturer
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::ROCKFIELD PLANT
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
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2020-02-12-38-4
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Date Tested: 2/17/2020
Verified Date: 5/21/2020
Submitted By Organization: CEMEX - Rockfield
Organization Address: 13475 N. Friant Road,
Organization City: Friant
Organization State: CA
Organization Zipcode: 93626
Organization Email:
Organization Phone: (559) 477-6228
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Cleanness value (11/2 in. maximum aggregate mix): 89