DIME - Test Summary

Summary for Test 2020-12-02-15-1

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 213727 DEA: 041A6834 EFIS: 0412000335
DIST-CO-RTE-PM	04-ALA-880-28.5 / 29.2
Award Date	03/25/2019
Closeout Date	01/13/2023
Work Description	REHABILITATE ROADWAY.
Location Description	IN OAKLAND, FROM 23RD TO 29TH STREET.
QA Service Level	1 (Verified on 05/14/2019)

Sample Taken Date	12/02/2020	Sample Unique Key	15
Date that the sample was received by the laboratory/organization performing the testing	01/27/2021	Sample type	Annual Source Testing
A brief description of the sample	fine aggregate	The quantity of what the sample constitutes	1-bag fine aggregate
From where was the sample collected	Source	First name of sampler or witnessed by	plant personnel
Last name of sampler or witnessed by	plant personnel	Title of sampler	QC Tech
Telephone number of sampler		Laboratory sample identification	21-PCCF-0010
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vulcan Pleasanton
Transportation Laboratory (TL) Number	C924557	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-01-0010
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
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

DIME Sample ID: 2020-12-02-15

DIME Test ID: 2020-12-02-15-1

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: 2021-02-18

Input Type: Measured

Tester's full name: Bang Nguyen

Date of test: 01/29/2021

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/18/2021 ✔