DIME - Test Summary

Summary for Test 2021-03-26-19-8

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 215212 DEA: 081F1434 EFIS: 0815000233
DIST-CO-RTE-PM	08-RIV-15-38.2/51.5
Award Date	12/04/2020
Closeout Date	03/01/2023
Work Description	INDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT.
Location Description	RIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION
QA Service Level	1 (Verified on 03/30/2021)

Sample Taken Date	03/26/2021	Sample Unique Key	19
Date that the sample was received by the laboratory/organization performing the testing	03/27/2021	Sample type	Annual Source Testing
A brief description of the sample	Washed Concrete Sand	The quantity of what the sample constitutes	5 bgas
From where was the sample collected	Source	First name of sampler or witnessed by	RMA
Last name of sampler or witnessed by	Quarry QC Tech	Title of sampler	QC Technician
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Pacific Aggregate Alberhill
Transportation Laboratory (TL) Number	3525	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)	unknown
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

DIME Sample ID: 2021-03-26-19

DIME Test ID: 2021-03-26-19-8

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand

Test Release Date: 2021-04-19

Input Type: Calculated

Tester's full name: Stish Jain

Date of test: 04/08/2021

Is the sample satisfactory or not?: Yes

Does debris exist: No

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

Test was verified on 4/19/2021 ✔