Test 2020-04-21-18-2 (CTM 227-December 2014) Summary

Project Information
Project IdentifiersProject ID: 212600
DEA: 07293704
EFIS: 0713000239
DIST-CO-RTE-PM07-LA-110,405-8.0/9.0,12.2/13.2
Work DescriptionWIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING
Sample Information
Sample Taken Date4/21/2020 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 testing4/23/2020
Sample typeAcceptance A brief description of the sample3/8" Aggregate for Acceptance
The quantity of what the sample constitutes1 bag, 30CY From where was the sample collectedManufacturer
First name of sampler or witnessed byMD Last name of sampler or witnessed bySHAJAHAN
Title of samplerMREA Laboratory sample identification9871
The fabricator/manufacturer/facility nameCEMEX COMPTON, SOURCE CEMEX WHITE MOUNTAIN Transportation Laboratory (TL) Number002095
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)91-36-0106
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 collectedna
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design number1513375 Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2020-04-21-18
DIME Test ID: 2020-04-21-18-2
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: 2020-05-11
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: DANILO FERRER
Date of test: 04/28/2020
Cleanness value (single primary size):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/11/2020