Test 2021-04-16-26-5 (CTM 227-December 2014) 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 Date4/16/2021 Sample Unique Key26
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 testing4/16/2021
Sample typeAggregate Prequalification Program A brief description of the sampleCoarse PCC Aggregate
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerQC Supervisor Laboratory sample identification2021-04-22-28
The fabricator/manufacturer/facility nameCemex Redlands Transportation Laboratory (TL) Number
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)91-36-0068
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number4420 A detailed description of where the material sample was collectedProduction stockpile
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: 2021-04-16-26
DIME Test ID: 2021-04-16-26-5
Testing Lab: Cemex - Central & Southern California
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-05-17
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: Marc Segura
Date of test: 04/16/2021
Cleanness value (single primary size):92
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/17/2021