Test 2021-04-09-27-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 214190
DEA: 024G41U4
EFIS: 0218000047
DIST-CO-RTE-PM02-SIS,SIS-5-Var
Work DescriptionREPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location DescriptionSHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
Sample Information
Sample Taken Date4/9/2021 Sample Unique Key27
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 testing4/9/2021
Sample typeAcceptance A brief description of the sampleCoarse PCC Aggregate (3/8-inch x No. 8)
The quantity of what the sample constitutesUndefined From where was the sample collectedSource
First name of sampler or witnessed byKaren Last name of sampler or witnessed byDorado
Title of samplerJET Laboratory sample identificationD78770
The fabricator/manufacturer/facility nameJF Shea Construction, Shasta Redi-Mix, Redding, CA Transportation Laboratory (TL) Number002572
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)Undefined
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
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: 2021-04-09-27
DIME Test ID: 2021-04-09-27-2
Testing Lab: CT D02 - North Region Materials Lab
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-05-20
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Measured
Tester's full name: Karen Dorado
Date of test: 04/13/2021
Top sediment column reading (single primary size): 0.1 in
Cleanness value (single primary size):97
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/20/2021