Test 2015-01-16-8-5 (CTM 227-June 2012) Summary

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Project Information
Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Sample Information
Sample Taken Date1/16/2015 Sample Unique Key8
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 testing1/16/2015
Sample typeAnnual Source Testing A brief description of the sampleThree eighths inch PCC Aggregates
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPollard
Title of samplerSupervisor of Technical Services Laboratory sample identification5111B
The fabricator/manufacturer/facility nameVulcan Sun Valley Boulevard Transportation Laboratory (TL) NumberC15 32
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 91-19-0019
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 Size3/8 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2015-01-16-8
DIME Test ID: 2015-01-16-8-5
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: 2015-02-23
Test Results

Describe the gradation of the aggregate:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Danilo Ferrer
Date of test: 01/27/2015
Cleanness value (11/2 in. maximum aggregate mix):94
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/23/2015