Test 2020-12-23-6-4 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Work DescriptionSegment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, headed rebar, welded hoops, column pins.
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
Sample Information
Sample Taken Date12/23/2020 Sample Unique Key6
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 testing12/23/2020
Sample typeQuality Control A brief description of the sample1 X 4 Concrete Aggregate
The quantity of what the sample constitutes100 cy From where was the sample collectedSource
First name of sampler or witnessed byCody Last name of sampler or witnessed byCuevas
Title of samplerQC Technician Laboratory sample identification
The fabricator/manufacturer/facility nameHanson Goleta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameSheffield
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-40-0003
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 collectedbelt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number72F1S0Z Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2020-12-23-6
DIME Test ID: 2020-12-23-6-4
Testing Lab: Sequoia Consultant
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2020-12-29
Test Results

Describe the gradation of the aggregate or the test method:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Leo Santamaria
Date of test: 12/23/2020
Cleanness value (11/2 in. maximum aggregate mix):90
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/29/2020