Summary for Test 2015-12-23-13-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210794
DEA: 062HT104
EFIS: 0612000287
DIST-CO-RTE-PM06-FRE-99-23.5/26.7
Award Date06/30/2016
Closeout Date09/16/2020
Work Description(Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST).
Location DescriptionState Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing.
QA Service Level1 (Verified on 10/01/2015)

Sample Information

Sample Taken Date12/23/2015 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testing04/05/2016 Sample typeAnnual Source Testing
A brief description of the sampleFine PCC Aggregate The quantity of what the sample constitutes8 Bags
From where was the sample collectedSource First name of sampler or witnessed byMike
Last name of sampler or witnessed byHoldridge Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identification16FPCC-0170
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameVulcan - Triangle Rock Los Banos
Transportation Laboratory (TL) Numberc812327 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-24-0009
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2015-12-23-13
DIME Test ID: 2015-12-23-13-1
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: 2016-04-14

Test Results


Input Type: Calculated
Tester's full name: Tom Stinnett
Date of test: 04/14/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/14/2016 ✔