Test 2020-03-17-11-2 (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 Date3/17/2020 Sample Unique Key11
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 testing3/27/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed 1" x #4 Crushed Rock
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byRusselle Last name of sampler or witnessed byDuke
Title of samplerPlant QC Laboratory sample identification9669
The fabricator/manufacturer/facility nameVulcan Corona Transportation Laboratory (TL) Number2020-1-28-12
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)91-33-0027::CORONA QUARRY
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 collectedSampled at Stockpile
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: 2020-03-17-11
DIME Test ID: 2020-03-17-11-2
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: 2020-04-28
Test Results

Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Husni Ankir
Date of test: 04/08/2020
Cleanness value (single primary size):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/28/2020