Test 2020-03-11-18-5 (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 Date3/11/2020 Sample Unique Key18
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 testing3/11/2020
Sample typeAggregate Prequalification Program A brief description of the sample1" x #4 PCC
The quantity of what the sample constitutes12 bags From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerTechnical Services Supervisor Laboratory sample identification
The fabricator/manufacturer/facility nameLytle Creek 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)91-36-0040::LYTLE CREEK
The fabricator's/manufacturer's product name for the sample1x4 concrete aggregate The fabricator/manufacturer designation for the sampleUnknown
The plant number4419 A detailed description of where the material sample was collectedStockpile at the Plant
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2020-03-11-18
DIME Test ID: 2020-03-11-18-5
Testing Lab: Cemex - Central & Southern California
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2020-03-26
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: Gregory Vinson
Date of test: 03/11/2020
Cleanness value (11/2 in. maximum aggregate mix):94
General comments (publicly viewable) (Max 1000 characters): 1x4 results

Test was verified on 03/26/2020