Test 2019-12-16-16-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 213689
DEA: 07312504
EFIS: 0715000065
DIST-CO-RTE-PM07-LA-5-R82.5/R86.8
Work DescriptionCONSTRUCT STORM WATER TREAMENT BMPS AND DRAINAGE SYSTEM
Location DescriptionLOS ANGELES COUNTY IN AND NEAR GORMAN AT VARIOUS LOCATIONS FROM 0.4 MILE NORTH OF ROUTE 5/138 SEPARATION TO 0.6 MILE SOUTH OF TEJON PASS OVERCROSSING
Sample Information
Sample Taken Date12/16/2019 Sample Unique Key16
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 testing12/16/2019
Sample typeAcceptance A brief description of the sample3/8" PCC AGGREGATE
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byMD Last name of sampler or witnessed byShahjahan
Title of samplerMREA Laboratory sample identification8990
The fabricator/manufacturer/facility nameRobertsons - Palmdale Transportation Laboratory (TL) NumberC914337
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)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberRRM 19026 Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-12-16-16
DIME Test ID: 2019-12-16-16-2
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: 2020-03-17
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: KIET PHAN
Date of test: 12/20/2019
Cleanness value (11/2 in. maximum aggregate mix):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/17/2020