Test 2019-03-08-19-4 (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 Date3/8/2019 Sample Unique Key19
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 testingNot set
Sample typeAggregate Prequalification Program A brief description of the sampleWashed 3/8 Crushed Rock
The quantity of what the sample constitutes160 lbs From where was the sample collectedSource
First name of sampler or witnessed byTyler Last name of sampler or witnessed byLavorci
Title of samplerQC Technician Laboratory sample identification
The fabricator/manufacturer/facility nameAzusa Fish Canyon Transportation Laboratory (TL) Number
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)91-19-0035::FISH CANYON QUARRY
The fabricator's/manufacturer's product name for the sampleWashed 3/8 Crushed Rock The fabricator/manufacturer designation for the sample
The plant number 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 Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2019-03-08-19
DIME Test ID: 2019-03-08-19-4
Testing Lab: Vulcan Materials Company - Irwindale
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate
Test Release Date: 2019-10-01
Test Results

Describe the gradation of the aggregate or the test method:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Manolito Limos
Date of test: 03/09/2019
Cleanness value (11/2 in. maximum aggregate mix):86
General comments (publicly viewable) (Max 250 characters):

Test was verified on 10/01/2019