Test 2013-12-18-7002567-5 (CTM 227-June 2012) Summary

Project Information
Project IdentifiersProject ID: 3811
DEA: 071219U4
EFIS: 0700001829
DIST-CO-RTE-PM07-LA-5,170-58.0/63.4,R32.3/R33.1
Work DescriptionConstruct HOV lanes, connectors and replace slabs.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM 0.1 KM NORTH OF SHELDON STREET OVERCROSSING TO ROUTE 5/118 SEPARATION AND ON ROUTE 170 FROM 0.1 KM SOUTH OF ARLETA/SHELDON UNDERCROSSING TO ROUTE 5/170 SEPARATION
Sample Information
Sample Taken Date12/18/2013 Sample Unique Key7002567
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 testing12/18/2013
Sample typeAnnual Source Testing A brief description of the sample3/8 Rock
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPollard
Title of samplerSupervisor of Technical Services Laboratory sample identificationNot set
The fabricator/manufacturer/facility nameVulcan Sun Valley - Blvd. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA No. 91-19-0019
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2013-12-18-7002567
DIME Test ID: 2013-12-18-7002567-5
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2014-04-07
Test Results

Describe the gradation of the aggregate:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Nadar Rashidi
Date of test: 01/28/2014
Cleanness value (11/2 in. maximum aggregate mix):89
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/07/2014