Test 2020-04-09-18-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
Sample Information
Sample Taken Date4/9/2020 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 testing4/15/2020
Sample typeAcceptance A brief description of the sample1" x #4 PCC AGGREGATE
The quantity of what the sample constitutesAcceptance From where was the sample collectedFabricator
First name of sampler or witnessed byZAID Last name of sampler or witnessed byABDELKHALIQ
Title of samplerTET Laboratory sample identification9744
The fabricator/manufacturer/facility nameVULCAN CORONA Transportation Laboratory (TL) NumberTNT1
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 collectedConveyor Belt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberS75099 Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2020-04-09-18
DIME Test ID: 2020-04-09-18-2
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: 2020-04-29
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: 04/23/2020
Cleanness value (single primary size):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/29/2020