Summary for Test 2022-03-17-63-9

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 Date03/17/2022 Sample Unique Key63
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 testing04/07/2022
Sample typeAggregate Prequalification Program A brief description of the sampleCemex White Mountain 1x4
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byAlbert Last name of sampler or witnessed bySegura
Title of samplerQuality Control Supervisor Telephone number of sampler9094368680
Laboratory sample identificationCemex White Mountain 1x4 Linked DIME Sample ID2022-03-17-54
The fabricator/manufacturer/facility nameCemex White Mountain 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, name of Pit or Job Site)91-36-0106
The fabricator's/manufacturer's product name for the sampleCemex White Mountain 1x4 The fabricator/manufacturer designation for the sample1x4
The plant number4423 A detailed description of where the material sample was collectedStock Pile
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2022-03-17-63
DIME Test ID: 2022-03-17-63-9
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: 2022-05-19

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: Robert Jarquin
Date of test: 04/22/2022
Cleanness value (11/2 in. maximum aggregate mix): 91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/19/2022