Summary for Test 2021-07-09-28-10

Test performed: CTM 227-December 2014

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date07/09/2021 Sample Unique Key28
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 testing10/06/2021
Sample typeAggregate Prequalification Program A brief description of the sample1" x 3/4" AGGCRUSHED
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 Telephone number of sampler6613169606
Laboratory sample identification1628196771 Linked DIME Sample ID2021-07-09-25
The fabricator/manufacturer/facility nameFive Bridges Plant Transportation Laboratory (TL) Number4845
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)91-14-0001
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number100208 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 Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Test Details

DIME Sample ID: 2021-07-09-28
DIME Test ID: 2021-07-09-28-10
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-11-02

Test Results


Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Amir Behjati
Date of test: 10/20/2021
Cleanness value (single primary size):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/2/2021