Test 2020-02-04-20-5 (CTM 227-December 2014) Summary

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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 Date2/4/2020 Sample Unique Key20
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 testing1/27/2020
Sample typeAggregate Prequalification Program A brief description of the sample1" PCC AGGREAGATE
The quantity of what the sample constitutes8 BAGS From where was the sample collectedSource
First name of sampler or witnessed byManolito Last name of sampler or witnessed byLimos
Title of samplerQUALITY CONTROL Laboratory sample identification9295
The fabricator/manufacturer/facility nameVulcan BOULEVARD Transportation Laboratory (TL) NumberC2019-12-06-12 DIME
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)91-19-0019::VULCAN BOULEVARD
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 @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2020-02-04-20
DIME Test ID: 2020-02-04-20-5
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: 2020-03-16
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: 02/10/2020
Cleanness value (11/2 in. maximum aggregate mix):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/16/2020