DIME - Test Summary

Summary for Test 2022-01-06-63-1

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 214995 DEA: 040J5304 EFIS: 0414000010
DIST-CO-RTE-PM	04-ALA-880-11.4/12.2
Award Date	01/04/2021
Closeout Date	04/26/2023
Work Description	PATTERSON SLOUGH BRIDGE DECK REHAB
Location Description	ALAMEDA COUNTY IN FREMONT FROM 0.4 MILE SOUTH TO 0.4 MILE NORTH OF PATTERSON SLOUGH BRIDGE
QA Service Level	1 (Verified on 10/19/2020)

Sample Taken Date	01/06/2022	Sample Unique Key	63
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	Curtis
Last name of sampler or witnessed by	Gilbert	Title of sampler	Plant
Telephone number of sampler		Laboratory sample identification	22-PCCF-0054
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vulcan Pleasanton
Transportation Laboratory (TL) Number	C728228	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-01-0010
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	Stockpile
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

DIME Sample ID: 2022-01-06-63

DIME Test ID: 2022-01-06-63-1

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: 2022-05-03

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 5/3/2022 ✔