Test 2021-06-16-28-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 214841
DEA: 034H1004
EFIS: 0318000176
DIST-CO-RTE-PM03-SIE-49-9.2/24.7
Work DescriptionINSTALL RETAINING STRUCTURE AND RSP CONCRETE EMBANKMENT.
Location DescriptionSIERRA COUNTY ON ROUTE 49 AT VARIOUS LOCATIONS
Sample Information
Sample Taken Date6/16/2021 Sample Unique Key28
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 testing6/17/2021
Sample typeQuality Control A brief description of the sample1x4 Aggregate
The quantity of what the sample constitutes1 Day From where was the sample collectedSupplier
First name of sampler or witnessed byAndrew Last name of sampler or witnessed byClarke
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameHansen Bros Enterprises 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)Greenhorn
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-06-16-28
DIME Test ID: 2021-06-16-28-2
Testing Lab: RMA Group - Rancho Cordova
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-07-04
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: Todd Strait
Date of test: 06/17/2021
Cleanness value (single primary size):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/04/2021