Summary for Test 2016-06-07-15-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 210946 DEA: 060T5904 EFIS: 0615000155 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-137;190-18.2/27.4;26.5/56.6 |
| Award Date | Not set |
| Closeout Date | 04/24/2018 |
| Work Description | PLACE POLYMER ASPHALTIC EMULSION (SEAL COAT). |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/04/2016) |
Sample Information
| Sample Taken Date | 06/07/2016 | Sample Unique Key | 15 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/14/2016 | Sample type | Department Acceptance |
| A brief description of the sample | Sand | The quantity of what the sample constitutes | 1 bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | M |
| Last name of sampler or witnessed by | Ruiz | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | 16FPCC-0246 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Deer Creek |
| Transportation Laboratory (TL) Number | c983199 | 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) | Unknown |
|---|---|---|---|
| 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: 2016-06-07-15
DIME Test ID: 2016-06-07-15-1
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: 2016-06-28
Test Results
Input Type: Calculated
Tester's full name: Benjamin Lenz
Date of test: 06/22/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/28/2016 ✔