Test 2020-03-02-6-2 (CTM 227-December 2014) Summary

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 Date3/2/2020 Sample Unique Key6
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 testing3/2/2020
Sample typeAggregate Prequalification Program A brief description of the sample1" X #4 Concrete aggregate
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedManufacturer
First name of sampler or witnessed byTrenton Last name of sampler or witnessed byCrouse
Title of samplerQC Supervisor Laboratory sample identification
The fabricator/manufacturer/facility nameTeichert Materials Vernalis Transportation Laboratory (TL) Number
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)91-39-0041
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 Loader Blend
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: 2020-03-02-6
DIME Test ID: 2020-03-02-6-2
Testing Lab: Teichert Materials - Sacramento
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: Eric Gifford
Date of test: 03/03/2020
Cleanness value (11/2 in. maximum aggregate mix):83
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/16/2020