Summary for Test 2015-11-19-15-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7463 DEA: 042640U4 EFIS: 0412000195 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-0.9/3.6 |
| Award Date | 11/02/2012 |
| Closeout Date | 06/03/2020 |
| Work Description | CONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR |
| Location Description | SONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 09/11/2012) |
Sample Information
| Sample Taken Date | 11/19/2015 | Sample Unique Key | 15 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/28/2016 | Sample type | Annual Source Testing |
| A brief description of the sample | Fine PCC Aggregate | The quantity of what the sample constitutes | 2 bags |
| From where was the sample collected | Source | First name of sampler or witnessed by | xx |
| Last name of sampler or witnessed by | Weston | Title of sampler | Quarry QC |
| Telephone number of sampler | Unknown | Laboratory sample identification | 16FPCC-0057 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Syar Healdsburg |
| Transportation Laboratory (TL) Number | c862732 | 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) | 91-49-0062 |
|---|---|---|---|
| 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 |
Test Details
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DIME Sample ID: 2015-11-19-15
DIME Test ID: 2015-11-19-15-1
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: 2016-03-15
Test Results
Input Type: Calculated
Tester's full name: Tom Stinnett
Date of test: 02/18/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/15/2016 ✔