Test 2019-12-19-22-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Sample Information
Sample Taken Date12/19/2019 Sample Unique Key22
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 testing12/23/2019
Sample typeAcceptance A brief description of the sample1.0" X No. 4 PCC AGG
The quantity of what the sample constitutes2 BUCKET From where was the sample collectedDistributor
First name of sampler or witnessed byMD Last name of sampler or witnessed byShahjahan
Title of samplerMREA Laboratory sample identification9054
The fabricator/manufacturer/facility nameVULCAN SUN VALLEY Transportation Laboratory (TL) NumberC914342
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 Size1 inch
The concrete mix design numberS72017 Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-12-19-22
DIME Test ID: 2019-12-19-22-2
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: 2020-03-13
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: HUSNI ANKIR
Date of test: 12/30/2019
Cleanness value (11/2 in. maximum aggregate mix):89
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/13/2020