Summary for Test 2014-07-28-9006107-5

Test performed: CTM 227-June 2012

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date04/14/2014
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date07/28/2014 Sample Unique Key9006107
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 testing07/28/2014
Sample typeAnnual Source Testing A brief description of the samplePea gravel
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification4201B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRobertsons Redlands Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91-36-0072
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 collectedStockpiles
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Test Details

DIME Sample ID: 2014-07-28-9006107
DIME Test ID: 2014-07-28-9006107-5
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2015-02-20

Test Results


Describe the gradation of the aggregate:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Nader Rashidi
Date of test: 08/01/2014
Cleanness value (11/2 in. maximum aggregate mix):91
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/20/2015