Test 2021-07-09-32-7 (CTM 207-March 2012) 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 Date7/9/2021 Sample Unique Key32
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing9/17/2021
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 Buckets From where was the sample collectedSource
First name of sampler or witnessed byNicole Last name of sampler or witnessed byBerkovatz
Title of samplerQC Tech Laboratory sample identification1166756822
The fabricator/manufacturer/facility nameLee Vining Plant Transportation Laboratory (TL) Number4651
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)91-26-0029
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number100212 A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2021-07-09-32
DIME Test ID: 2021-07-09-32-7
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate
Test Release Date: 2021-10-05
Test Results

Input Type: Calculated
Tester's full name: Friday Ofoegbu
Date of test: 09/17/2021
% Absorption:0.6 %
Specific Gravity:2.68
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/05/2021