DIME - Test Summary

Summary for Test 2023-04-03-12-3

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	04/03/2023	Sample Unique Key	12
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	04/12/2023
Sample type	Quality Control	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	55lbs of Sand	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Nicholas	Last name of sampler or witnessed by	Qualin
Title of sampler	Field Supervisor	Telephone number of sampler	858-864-3718
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Martin Marietta - Santee	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	N/A
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 at the Plant
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

DIME Sample ID: 2023-04-03-12

DIME Test ID: 2023-04-03-12-3

Testing Lab: Martin Marietta

Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand

Test Release Date: 2023-04-24

Input Type: Calculated

Tester's full name: Austin Hill

Date of test: 04/21/2023

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/24/2023 ✔