Test 2020-12-29-4-7 (CTM 206-October 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 Date12/29/2020 Sample Unique Key4
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 testing12/29/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed 3/8" Crushed PCC Aggregate
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byMaldonado
Title of samplerQuality Control Tech Laboratory sample identification2929
The fabricator/manufacturer/facility nameVULCAN FISH CANYON QUARRY Transportation Laboratory (TL) NumberC-2020-11-12-22
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)91-19-0035
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 collectedStckpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2020-12-29-4
DIME Test ID: 2020-12-29-4-7
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate
Test Release Date: 2021-02-02
Test Results

How will the aggregate be used?: cement treated base
Input Type: Calculated
Tester's full name: Friday Ofoegbu
Date of test: 01/12/2021
% Water Absorbed:1.5 %
Bulk Oven Dried Specific Gravity:2.66
General comments (publicly viewable) (Max 1000 characters): APP=2.77 SSD=2.70 O.D=2.66

Test was verified on 02/02/2021