Summary for Test 2020-12-12-9-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 12/12/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/04/2021 | Sample type | Quality Assurance |
| A brief description of the sample | Sand | The quantity of what the sample constitutes | 1 bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | D. |
| Last name of sampler or witnessed by | Yeung | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 21-FPCC-0003 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | DeSilva Gates Sunol | |
| Transportation Laboratory (TL) Number | C968746 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-01-0007 |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2020-12-12-9
DIME Test ID: 2020-12-12-9-1
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2021-01-25
Test Results
Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 01/22/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/25/2021 ✔