Summary for Test 2021-05-19-47-10
Test performed: CTM 227-December 2014Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/19/2021 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 testing | 10/13/2021 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | 1" Aggregate (#3) |
| The quantity of what the sample constitutes | 12 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Milum |
| Title of sampler | Lab Manager | Telephone number of sampler | (909) 982-1553 ex. 2359 |
| Laboratory sample identification | 1668-CR | Linked DIME Sample ID | 2021-05-19-42 |
| The fabricator/manufacturer/facility name | Holliday Rock Co Inc | Transportation Laboratory (TL) Number | 4895 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-15-0080::MOJAVE QUARRY |
|---|---|---|---|
| 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 collected | Sample Pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2021-05-19-47
DIME Test ID: 2021-05-19-47-10
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2021-11-09
Test Results
Describe the gradation of the aggregate or the test method:: All aggregate is the same size
Input Type: Calculated
Tester's full name: Larry Diaz
Date of test: 10/21/2021
Cleanness value (single primary size): 89
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/9/2021 ✔