Test 2020-11-16-40-1 (CTM 202-November 2011) Summary

Project Information
Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
Sample Information
Sample Taken Date11/16/2020 Sample Unique Key40
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing12/16/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedManufacturer
First name of sampler or witnessed byJon Last name of sampler or witnessed byBlumer
Title of samplerQA Technician Laboratory sample identification20-APPF-0238
The fabricator/manufacturer/facility nameWestern Aggregates Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-58-0001
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 collectedStockpile at the Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2020-11-16-40
DIME Test ID: 2020-11-16-40-1
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Test Release Date: 2021-01-11
Test Results

What size aggregate is being tested?: Fine Aggregate
Individual or cumulative mass retained on each sieve?: Individual Mass Retained
Input Type: Measured
Tester's full name: Jay Horton
Date of test: 12/22/2020
Individual mass retained on the 3/8 in. sieve: 0 grams
Individual mass retained on the #4 sieve: 0 grams
Individual mass retained on the #8 sieve: 78.3 grams
Individual mass retained on the #16 sieve: 129.1 grams
Individual mass retained on the #30 sieve: 100.5 grams
Individual mass retained on the #50 sieve: 87 grams
Individual mass retained on the #100 sieve: 59.1 grams
Individual mass retained on the #200 sieve: 34.5 grams
Individual mass retained on the pan: 9.8 grams
Total mass of sample tested: 498 grams
Cumulative percent passing the 3/8 in. sieve:100 %
Cumulative percent passing the #4 sieve:100 %
Cumulative percent passing the #8 sieve:84 %
Cumulative percent passing the #16 sieve:58 %
Cumulative percent passing the #30 sieve:38 %
Cumulative percent passing the #50 sieve:21 %
Cumulative percent passing the #100 sieve:9 %
Cumulative percent passing the #200 sieve:2 %
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/11/2021