Summary for Test 2016-06-22-15-4

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210829
DEA: 07302904
EFIS: 0713000478
DIST-CO-RTE-PM07-LA-5-C43.9/C46.4
Award Date01/13/2016
Closeout Date06/25/2019
Work DescriptionREPLACE CONCRETE SLABS/PAVEMENT.
Location DescriptionIN LA, RT 5 TRUCK LANES CNTY LN ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
QA Service Level1 (Verified on 12/16/2015)

Sample Information

Sample Taken Date06/22/2016 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing06/23/2016 Sample typeAnnual Source Testing
A brief description of the sampleWashed Concrete Sand The quantity of what the sample constitutesUnknown
From where was the sample collectedSource First name of sampler or witnessed byAlvaro
Last name of sampler or witnessed byFarnetti Title of samplerQC Tech
Telephone number of samplerUnknown Laboratory sample identification6273B
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameGranite Construction
Transportation Laboratory (TL) NumberC 6 16 3 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)SMARA 91 19 0008
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 collectedGranite Construction Littlerock Stockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2016-06-22-15
DIME Test ID: 2016-06-22-15-4
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2019-10-15

Test Results


Input Type: Calculated
Tester's full name: Danilo Ferrer
Date of test: 07/06/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/15/2019 ✔