Test 2021-01-04-26-2 (CTM 227-December 2014) 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 Key26
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 sample3/8 PeaGravel
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-0147
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 sample38 AGGNATURAL The fabricator/manufacturer designation for the sample1826
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 Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-01-04-26
DIME Test ID: 2021-01-04-26-2
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-08-31
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 08/06/2021
Top sediment column reading (single primary size): 0.3 in
Cleanness value (single primary size):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/31/2021