Test 2014-08-20-27-1 (CTM 202-November 2011) Summary

Project Information
Project IdentifiersProject ID: 209242
DEA: 080P3104
EFIS: 0800001017
DIST-CO-RTE-PM08-SBD-395-16.2
Work DescriptionINSTALL TRAFFIC SIGNAL, INTERCONNECT, RAMP METER, AND LIGHTING
Location DescriptionSAN BERNARDINO COUNTY, IN ADELANTO, AT THE INTERSECTION OF STATE ROUTE 395 AND BARTLETT ROAD
Sample Information
Sample Taken Date8/20/2014 Sample Unique Key27
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 testing8/20/2014
Sample typeAnnual Source Testing A brief description of the sampleThree eighths inch PCC Aggregates
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerQC Technician Laboratory sample identification4238B
The fabricator/manufacturer/facility nameRoberts Lucern Valley 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 91 36 0116
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 collectedStockpiles
Where the material sample would have been placed if not sampledUnknown 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: 2014-08-20-27
DIME Test ID: 2014-08-20-27-1
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Test Release Date: 2015-02-20
Test Results

What size aggregate is being tested?: 0.375 in x No. 8 - Coarse Aggregate
Individual or cumulative mass retained on each sieve?: Cumulative Mass Retained
Input Type: Calculated
Tester's full name: Farzin Farah
Date of test: 08/22/2014
Cumulative percent passing the 1/2 in. sieve:100 %
Cumulative percent passing the 3/8 in. sieve:95 %
Cumulative percent passing the #4 sieve:10 %
Cumulative percent passing the #8 sieve:2 %
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/20/2015