Test 2021-02-12-10-3 (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 Date2/12/2021 Sample Unique Key10
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 testing2/12/2021
Sample typeQuality Control A brief description of the sample1x4 concrete aggregates
The quantity of what the sample constitutes100 cy From where was the sample collectedJob Site
First name of sampler or witnessed byScott Last name of sampler or witnessed byPowell
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 nameEvans Bridge Bent 2 and 3 Footings
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 sampledEvans Bridge Bent 2 and 3 Footings Primary Aggregate Nominal Size1 inch
The concrete mix design number725A1M0P Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-02-12-10
DIME Test ID: 2021-02-12-10-3
Testing Lab: Sequoia Consultant
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-02-23
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: 02/13/2021
Cleanness value (11/2 in. maximum aggregate mix):89
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/23/2021