Summary for Test 2022-11-15-80-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 11/15/2022 | Sample Unique Key | 80 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/20/2023 | Sample type | Annual Source Testing |
| A brief description of the sample | PCC Sand | The quantity of what the sample constitutes | 1 Bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | Andy |
| Last name of sampler or witnessed by | QC tech | Title of sampler | QC Technician |
| Telephone number of sampler | 9162149316 | Laboratory sample identification | 23-ASF-0052 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Granite Capay | |
| Transportation Laboratory (TL) Number | C422-279 | 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) | 91-57-0014 |
|---|---|---|---|
| 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 | Granite Capay | |
| 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 |
Test Details
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DIME Sample ID: 2022-11-15-80
DIME Test ID: 2022-11-15-80-1
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: 2023-05-02
Test Results
Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 04/20/2023
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/2/2023 ✔