DIME - Test Summary

Summary for Test 2023-05-22-52-4

Test performed: CTM 213-December 2012

Sample Taken Date	05/22/2023	Sample Unique Key	52
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	05/22/2023
Sample type	Aggregate Prequalification Program	A brief description of the sample	sand/pea-gravel/one inch minus
The quantity of what the sample constitutes	Three 50 pound samples	From where was the sample collected	Supplier
First name of sampler or witnessed by	Majid	Last name of sampler or witnessed by	Faheem
Title of sampler		Telephone number of sampler	5624498001
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Grimes Rock Inc.	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)	91-56-0032
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	grimes rock
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: 2023-05-22-52

DIME Test ID: 2023-05-22-52-4

Testing Lab: Grimes Rock

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

Test Release Date: 2023-06-26

Input Type: Calculated

Tester's full name: Angelito Cabanilla

Date of test: 06/06/2023

Is the sample satisfactory or not?: Yes

Does debris exist: No

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

Test was verified on 6/26/2023 ✔