Summary for Test 2021-04-28-28-6

Test performed: CTM 204-June 2010

Project Information

Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Award Date07/31/2019
Closeout Date08/30/2023
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
QA Service Level1 (Verified on 08/22/2019)

Sample Information

Sample Taken Date04/28/2021 Sample Unique Key28
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 testing04/28/2021
Sample typeVerification A brief description of the sample3/4" (Nominal size) Untreated Virgin Aggregate
The quantity of what the sample constitutes3 Bags of Aggregate From where was the sample collectedSource
First name of sampler or witnessed byTeichert Personnel (SAMPLER) Last name of sampler or witnessed byKen McHugh (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-024 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert-Hallwood Plant Transportation Laboratory (TL) NumberC741863
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-58-0006::HALLWOOD PLANT
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedHMA Plant Cold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2021-04-28-28
DIME Test ID: 2021-04-28-28-6
Testing Lab: CT D03 - Olivehurst Northern Regional Laboratory
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Test Release Date: 2021-06-28

Test Results


The test method used?: Plastic Index
Input Type: Calculated
Tester's full name: Jeff Herbert
Date of test: 06/08/2021
Liquid Limit (LL): 0 %
Plastic Limit (PL): 0 %
Plastic Index(PI): 0
General comments (publicly viewable) (Max 1000 characters): JMF21-024.

Test was verified on 6/28/2021