Summary for Test 2019-12-30-15-2

Test performed: CTM 227-December 2014

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
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
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date12/30/2019 Sample Unique Key15
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 testing12/31/2019
Sample typeAcceptance A brief description of the sample3/8" PCC AGG
The quantity of what the sample constitutes1 BUCKET From where was the sample collectedDistributor
First name of sampler or witnessed byMD Last name of sampler or witnessed byShahjahan
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9076 Linked DIME Sample ID2019-12-30-15
The fabricator/manufacturer/facility nameVULCAN SUN VALLEY Transportation Laboratory (TL) NumberC914346
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)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 sampledRTE 5 SBB EMPIRE PHASE 4 Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberS72017 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2019-12-30-15
DIME Test ID: 2019-12-30-15-2
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2020-03-20

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: 01/05/2020
Cleanness value (11/2 in. maximum aggregate mix): 91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 3/20/2020