Test 2019-12-31-4-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
Sample Information
Sample Taken Date12/31/2019 Sample Unique Key4
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 testing1/2/2020
Sample typeAcceptance A brief description of the sample1" AGGREGATE PCC
The quantity of what the sample constitutes1 BAG From where was the sample collectedSource
First name of sampler or witnessed byHORNESTO Last name of sampler or witnessed byCastillo
Title of samplerMREA Laboratory sample identification9078
The fabricator/manufacturer/facility nameHOLIDAY ROCK upland Transportation Laboratory (TL) NumberC915129
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 sampledSTG 5 VIA VERDE BRIDGE Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-12-31-4
DIME Test ID: 2019-12-31-4-2
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: 2020-03-19
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: 01/03/2020
Cleanness value (11/2 in. maximum aggregate mix):86
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/19/2020