DIME - Test Summary

Summary for Test 2015-11-20-6-1

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 209686 DEA: 062HT114 EFIS: 0615000257
DIST-CO-RTE-PM	06-FRE-99-23.5-26.7
Award Date	10/16/2015
Closeout Date	03/10/2021
Work Description	Project 0615000257 (EA 06-2HT11) is a subset of the 0612000287 (06-2HT10). Together, both Project IDs comprise the SR 99 Realignment project. Per project PM, METS shall charge all their time related to the Realignment project to 06-2HT10.
Location Description	Early Work Portion only; McKinley Ave and Motel Dr under-crossings, six retaining walls, improvements to local/frontage roads and infrastructure in advance of High Speed Rail.
QA Service Level	1 (Verified on 06/16/2014)

Sample Taken Date	11/20/2015	Sample Unique Key	6
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	01/22/2016
Sample type	Annual Source Testing	A brief description of the sample	Fine PCC Aggregate
The quantity of what the sample constitutes	6 bags	From where was the sample collected	Source
First name of sampler or witnessed by	Mike	Last name of sampler or witnessed by	Holdridge
Title of sampler	TET	Telephone number of sampler	Unknown
Laboratory sample identification	16FPCC-0050	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Vulcan Sanger	Transportation Laboratory (TL) Number	C812120D
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set	Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-10-0010
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	Stockpile
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

DIME Sample ID: 2015-11-20-6

DIME Test ID: 2015-11-20-6-1

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

Input Type: Calculated

Tester's full name: Tom Stinnett

Date of test: 02/16/2016

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 ✔