Summary for Test 2015-12-28-2-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 210040 DEA: 04297624 EFIS: 0400020581 COOP: 042558 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-22.9/25.7 |
| Award Date | 09/30/2015 |
| Closeout Date | 03/12/2020 |
| Work Description | WIDENING AND EXPRESSWAY UPGRADES |
| Location Description | ON ROUTE 84, FROM RUBY HILL DRIVE TO NORTH OF CONCANNON BOULEVARD |
| QA Service Level | 1 (Verified on 11/10/2015) |
Sample Information
| Sample Taken Date | 12/28/2015 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | 01/20/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | Fine PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Singh |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16FPCC-0016 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite Pleasanton | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-39-0002::VERNALIS |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
DIME Sample ID: 2015-12-28-2
DIME Test ID: 2015-12-28-2-1
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: 2016-02-25
Test Results
Input Type: Calculated
Tester's full name: Tom Stinnett
Date of test: 01/26/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/25/2016 ✔
