Summary for Test 2021-07-30-28-2

Test performed: CTM 227-December 2014

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date07/30/2021 Sample Unique Key28
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing08/03/2021
Sample typeAggregate Prequalification Program A brief description of the sample1" Aggregate (#3)
The quantity of what the sample constitutes12 Bags From where was the sample collectedSupplier
First name of sampler or witnessed byPaul Last name of sampler or witnessed byReno
Title of samplerQuality Control Tech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock Co, Inc 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)91-19-0001
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Test Details

DIME Sample ID: 2021-07-30-28
DIME Test ID: 2021-07-30-28-2
Testing Lab: Holliday Rock Co., Inc.
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-10-06

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: Steve Runyan
Date of test: 08/25/2021
Cleanness value (11/2 in. maximum aggregate mix):97
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/6/2021