Test 2021-03-15-10-10 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
Sample Information
Sample Taken Date3/15/2021 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 testing3/15/2021
Sample typeAggregate Prequalification Program A brief description of the sample3/8" PCC Aggregates
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of samplerQC Technician Laboratory sample identification3470
The fabricator/manufacturer/facility nameRobertson El Cajon Hester Granite Pit Transportation Laboratory (TL) NumberC-21-000002
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)91-37-0020
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 @ Plant
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: 2021-03-15-10
DIME Test ID: 2021-03-15-10-10
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-05-04
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Friday Ofoegbu
Date of test: 03/29/2021
Cleanness value (single primary size):89
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/04/2021