Summary for Test 2021-11-24-35-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
| Award Date | 05/04/2021 |
| Closeout Date | Not set |
| Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
| Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 11/24/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/16/2021 | Sample type | Annual Source Testing |
| A brief description of the sample | Fine Aggregate | The quantity of what the sample constitutes | 1 bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | Nick |
| Last name of sampler or witnessed by | Hall | Title of sampler | Plant QC |
| Telephone number of sampler | Laboratory sample identification | 21-PCCF-0214 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Healdsburg, CA | |
| Transportation Laboratory (TL) Number | C100425 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-49-0030 |
|---|---|---|---|
| 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 | Stock Pile | |
| 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 |
Test Details
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DIME Sample ID: 2021-11-24-35
DIME Test ID: 2021-11-24-35-1
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: 2022-01-03
Test Results
Input Type: Measured
Tester's full name: Jay Horton
Date of test: 12/20/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/3/2022 ✔