Summary for Test 2019-03-08-16-4

Test performed: CTM 227-December 2014

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date03/08/2019 Sample Unique Key16
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 testing03/08/2019
Sample typeAnnual Source Testing A brief description of the sample1" x #4
The quantity of what the sample constitutesAnnual production From where was the sample collectedSource
First name of sampler or witnessed byGreg Last name of sampler or witnessed byVinson
Title of samplerTechnical Services Area Manager Telephone number of sampler(510)378-2044
Laboratory sample identification2019-01B Linked DIME Sample ID
The fabricator/manufacturer/facility nameWhite Mountain-Victorville Transportation Laboratory (TL) NumberDistrict 12
Inspector Lot Number from the Transportation Laboratory (TL) Form2019-01B Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0106::WHITE MOUNTAIN QUARRY
The fabricator's/manufacturer's product name for the sample1 x 4 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBelt cut of Coarse and Fine Aggregate at Source
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: 2019-03-08-16
DIME Test ID: 2019-03-08-16-4
Testing Lab: CEMEX - Central & Southern California
Test Method: CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2019-03-29

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: Cuong Pham
Date of test: 03/20/2019
Cleanness value (11/2 in. maximum aggregate mix): 91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 3/22/2019