Summary for Test 2021-12-15-10-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 215231 DEA: 042A3324 EFIS: 0414000039 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-10.8/18 |
| Award Date | 02/22/2021 |
| Closeout Date | 02/29/2024 |
| Work Description | NILES CANYON SAFETY PROJECT |
| Location Description | ALAMEDA CREEK BR OH (33-0034) BRIDGE RAIL REPLACEMENT, 2,060 LF; AND STONYBROOK CREEK BRIDGE (SLAB BRIDGE) |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 12/15/2021 | Sample Unique Key | 10 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/22/2022 | 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 | D |
| Last name of sampler or witnessed by | Yeung | Title of sampler | TED |
| Telephone number of sampler | Laboratory sample identification | 22-PCCF-0048 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Desilva Gates Sunol | |
| Transportation Laboratory (TL) Number | C726253 | 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) | 91-01-0007 |
|---|---|---|---|
| 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 Piles | |
| 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: 2021-12-15-10
DIME Test ID: 2021-12-15-10-1
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: 2022-05-02
Test Results
Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 04/15/2022
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/2/2022 ✔