Test 2014-09-22-14-5 (CTM 227-June 2012) Summary

Project Information
Project IdentifiersProject ID: 209263
DEA: 080F6604
EFIS: 0800000146
DIST-CO-RTE-PM08-SBD-247-1.8/9.6
Work DescriptionCONSTRUCT SHOULDERS, COLD PLANE AND HMA OVERLAY
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR YUCCA VALLEY FROM EL CORTEZ ROAD TO HANDLEY ROAD
Sample Information
Sample Taken Date9/22/2014 Sample Unique Key14
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 testing9/22/2014
Sample typeAnnual Source Testing A brief description of the sampleOne inch PCC Aggregates
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Laboratory sample identification4267B
The fabricator/manufacturer/facility nameHi Grade Lucern Valley Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91 36 0042
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 collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-09-22-14
DIME Test ID: 2014-09-22-14-5
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2014-11-19
Test Results

Describe the gradation of the aggregate:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Vance Olsen
Date of test: 09/29/2014
Cleanness value (11/2 in. maximum aggregate mix):81
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/19/2014