Test 2020-01-08-21-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 212501
DEA: 022E4804
EFIS: 0200000586
DIST-CO-RTE-PM02-SIS-96,263-103.1/103.6,56.8/57.2
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96
Sample Information
Sample Taken Date1/8/2020 Sample Unique Key21
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 testing1/9/2020
Sample typeAcceptance A brief description of the sampleCoarse Aggregate (3/8 inch x No. 8)
The quantity of what the sample constitutes28 cy From where was the sample collectedManufacturer
First name of sampler or witnessed byShirley Last name of sampler or witnessed byMcAllister
Title of samplerTET Laboratory sample identificationD78321A
The fabricator/manufacturer/facility nameMountain Ready Mix Transportation Laboratory (TL) Number001679
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)91-47-0014::MOORES GRAVEL
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 collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberCT759SP Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2020-01-08-21
DIME Test ID: 2020-01-08-21-2
Testing Lab: CT D02 - North Region Materials Lab
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2020-02-04
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Measured
Tester's full name: Karen Spliethof
Date of test: 01/10/2020
Top sediment column reading (single primary size): 0.2 in
Cleanness value (single primary size):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/04/2020