Summary for Test 2021-04-20-30-5

Test performed: CTM 227-December 2014

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date04/20/2021 Sample Unique Key30
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 testing04/20/2021
Sample typeQuality Control A brief description of the sampleRock and Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byJulian Last name of sampler or witnessed byCarmona
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix G3-17-STR-006F Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSecurity Mojave Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0025::IRWINDALE
The fabricator's/manufacturer's product name for the sampleSet 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-17-STR-006F Lot number1
Sublot number1 HMA Design ID

Test Details

DIME Sample ID: 2021-04-20-30
DIME Test ID: 2021-04-20-30-5
Testing Lab: G3 Quality, Inc. - Cerritos
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-08-27

Test Results


Describe the gradation of the aggregate or the test method:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Alberto Pineda-Gonzalez
Date of test: 04/23/2021
Cleanness value (11/2 in. maximum aggregate mix):92
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 8/27/2021