Test 2021-05-25-33-4 (CTM 214-August 2010) 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 Date5/25/2021 Sample Unique Key33
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 testing6/21/2021
Sample typeAggregate Prequalification Program A brief description of the sample3/4" X #4 Manufactured Concrete Aggregate
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedSupplier
First name of sampler or witnessed byMike Last name of sampler or witnessed byKocunik
Title of samplerSupevisor Laboratory sample identification21-APPC-0117
The fabricator/manufacturer/facility nameTeichert Materials Perkins 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)91-34-0053
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 collectedProduction stockpile
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: 2021-05-25-33
DIME Test ID: 2021-05-25-33-4
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate
Test Release Date: 2021-07-21
Test Results

What size aggregate is being tested?: Coarse Aggregate
Input Type: Calculated
Tester's full name: Bang Nguyen/RK/JH
Date of test: 07/13/2021
Percentage Loss of material retained on 2 x 1 ½ in. sieve: no data
Percentage Loss of material retained on 1 ½ x 1 in. sieve: no data
Percentage Loss of material retained on 1 x ¾ in. sieve: no data
Percentage Loss of material retained on ¾ x ½ in. sieve: no data
Percentage Loss of material retained on ½ x ⅜ in. sieve: no data
Percentage Loss of material retained on ⅜ in. x #4 sieve: no data
Percentage Loss of material retained on 2 in. through 1 1/2 in. sieve: no data
Percentage Loss of material retained on 1 in. through 3/4 in. sieve: no data
Percentage Loss of material retained on 3/4 in. through #4 sieve: no data
Weighted Average Percent Loss of Coarse Aggregate:2.0 %
Batch Soundness Loss of Coarse Aggregate (2 1/2 in maximum):no data
Batch Soundness Loss of Coarse Aggregate (1 1/2 in maximum):no data
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/21/2021