Test 2021-01-04-25-3 (CTM 211-May 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 Date1/4/2021 Sample Unique Key25
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 testing7/29/2021
Sample typeAggregate Prequalification Program A brief description of the sample1x4WR
The quantity of what the sample constitutes10 Bags From where was the sample collectedSource
First name of sampler or witnessed byJavier Last name of sampler or witnessed byMacias
Title of samplerSenior Technician Laboratory sample identification1652691503
The fabricator/manufacturer/facility nameGranite Construction Company Vernalis Transportation Laboratory (TL) Number21-APPC-0146
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)91-39-0002
The fabricator's/manufacturer's product name for the sample1 AGGNATURAL The fabricator/manufacturer designation for the sample1785
The plant number100309 A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledVarious Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-01-04-25
DIME Test ID: 2021-01-04-25-3
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine
Test Release Date: 2021-08-31
Test Results

How many revolutions are required?: 500 Revolution Test
Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 08/06/2021
Grading: B
Mass of sample: 5002 grams
Mass retained No. 4 sieve: no data
Mass retained No. 12 sieve: 3735 grams
Percent wear:25 %
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/31/2021