Test 2021-06-08-19-4 (CTM 205-December 2010) Summary

Project Information
Project IdentifiersProject ID: 215245
DEA: 021J4504
EFIS: 0220000080
DIST-CO-RTE-PM02-SIS-89-14.0/19.0
Work DescriptionPLACE HMA (TYPE A).
Location DescriptionSISKIYOU COUNTY ABOUT 6 MILES NORTH OF BARTLE FROM 0.4 MILE NORTH OF EDISON CREEK ACCESS ROAD TO 2.0 MILES SOUTH OF MUD CREEK BRIDGE
Sample Information
Sample Taken Date6/8/2021 Sample Unique Key19
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 testing6/8/2021
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutesUp to 3000 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Last name of sampler or witnessed byCarmichael
Title of samplerConsultant Laboratory sample identificationD78836
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt - Redding, CA Transportation Laboratory (TL) Number779373
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)91-45-0017
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled02 SIS 89 Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2021-06-08-19
DIME Test ID: 2021-06-08-19-4
Testing Lab: CT D02 - North Region Materials Lab
Test Method: CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles
Test Release Date: 2021-12-02
Test Results

Input Type: Calculated
Tester's full name: Terry McCormick
Date of test: 06/16/2021
Percent Coarse Crushed:100 %
Percent Fine Crushed:0 %
General comments (publicly viewable) (Max 1000 characters): Coarse one and two fractured faced crushed particle percentage reported. Fine crushed particle percentage was not determined.

Test was verified on 12/02/2021