Test 2021-04-28-38-5 (CTM 204-June 2010) Summary

Project Information
Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Sample Information
Sample Taken Date4/28/2021 Sample Unique Key38
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 testing5/10/2021
Sample typeVerification A brief description of the sample3/4" untreated Virgin Aggregate
The quantity of what the sample constitutes 2 bags From where was the sample collectedSupplier
First name of sampler or witnessed byKen Last name of sampler or witnessed byMcHugh
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameTeichert-Hallwood Drum Plant 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)91-58-0006
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 collectedBelt Feed
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 JMF Verification ID JMF3513-2021-72
Test Details
DIME Sample ID: 2021-04-28-38
DIME Test ID: 2021-04-28-38-5
Testing Lab: CT D03 - North Region Materials Lab
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Test Release Date: 2021-08-20
Test Results

The test method used?: Plastic Index
Input Type: Calculated
Tester's full name: Julian Gonzales
Date of test: 05/10/2021
Liquid Limit (LL): 0 %
Plastic Limit (PL): 0 %
Plastic Index(PI):0
General comments (publicly viewable) (Max 1000 characters): JMF 21-024

Test was verified on 08/20/2021