Summary for Test 2022-12-05-68-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 993776 DEA: 040J3004 EFIS: 0413000433 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-26.7/27.1 |
| Award Date | 07/08/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT. |
| Location Description | SONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 12/05/2022 | Sample Unique Key | 68 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/24/2023 | 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 | Jeff |
| Last name of sampler or witnessed by | Rhodes | Title of sampler | Plant QC |
| Telephone number of sampler | Laboratory sample identification | 23-ASF-0032 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Canyon Rock Quarry | |
| Transportation Laboratory (TL) Number | C101282 | 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) | 91-49-004 |
|---|---|---|---|
| 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 |
Test Details
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DIME Sample ID: 2022-12-05-68
DIME Test ID: 2022-12-05-68-1
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: Measured
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 ✔