Test 2019-12-01-25-6 (CTM 202-November 2011) Summary

Project Information
Project IdentifiersProject ID: 66666
EFIS: 0019000052
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 Date12/1/2019 Sample Unique Key25
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 testing4/6/2020
Sample typeAggregate Prequalification Program A brief description of the sampleConcrete agg 3/8" Crushed
The quantity of what the sample constitutes2 buckets From where was the sample collectedSource
First name of sampler or witnessed byJordan Last name of sampler or witnessed byBaker
Title of sampler Laboratory sample identification20-APPC-0043 - retest 20-APPC-0061 from new sample
The fabricator/manufacturer/facility nameDeer Creek Rock and Aspahlt 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)91-54-0021::DEER CREEK 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 collectedStockpile sample by loader bucket
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-12-01-25
DIME Test ID: 2019-12-01-25-6
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Test Release Date: 2020-05-15
Test Results

What size aggregate is being tested?: 0.375 in x No. 8 - Coarse Aggregate
Individual or cumulative mass retained on each sieve?: Individual Mass Retained
Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 05/15/2020
Individual mass retained on the 1/2 in. sieve: 3.6 grams
Individual mass retained on the 3/8 in. sieve: 198.6 grams
Individual mass retained on the #4 sieve: 1168.6 grams
Individual mass retained on the #8 sieve: 86.6 grams
Individual mass retained on the pan: 10.1 grams
Total mass of sample: 1467 grams
Cumulative percent passing the 1/2 in. sieve:100 %
Cumulative percent passing the 3/8 in. sieve:86 %
Cumulative percent passing the #4 sieve:7 %
Cumulative percent passing the #8 sieve:1 %
General comments (publicly viewable) (Max 1000 characters): This is reretest of original sample with lab 20-APPC-0043 and DIME ID: 2019-12-01-25-1 using new sample submitted by supplier to lab on 5/14/2020.-BN

Test was verified on 05/15/2020