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Testing Report for 2020-07-13-47-10

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: 2020-07-13-47
TL Number from the TL Form: 2020-05-27-22
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 7/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 8/12/2020
The quantity of what the sample constitutes: 14 Bags
A brief description of the sample: 1.0" PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification: 1702
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Palmdale

Material Information

Source Identification (SMARA or name of Pit): 91-19-0020
The fabricator's/manufacturer's product name for the sample: Vulcan-Palmdale
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: 2020-07-13-47-10
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Date Tested: 8/10/2020
Verified Date: 8/25/2020
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

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