Summary for Test 2017-01-18-15-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 210652 DEA: 06360234 EFIS: 0612000241 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-35.2/R37.3 |
| Award Date | 10/15/2015 |
| Closeout Date | 08/24/2018 |
| Work Description | WIDEN HIGHWAY FROM 4-LANES TO 6-LANE. |
| Location Description | ON ROUTE 99 IN TULARE COUNTY NEAR VISALIA FROM 1.2 MILE SOUTH OF AVENUE 280 OC (BR NO.46-195) TO 0.9MILE SOUTH OF WEST VISALIA OH (BR NO.46-226) |
| QA Service Level | 1 (Verified on 07/21/2015) |
Sample Information
| Sample Taken Date | 01/18/2017 | Sample Unique Key | 15 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/14/2017 | Sample type | Annual Source Testing |
| A brief description of the sample | Fine PCC Aggregate | The quantity of what the sample constitutes | 4 bags |
| From where was the sample collected | Source | First name of sampler or witnessed by | Allen |
| Last name of sampler or witnessed by | Oliver | Title of sampler | TET |
| Telephone number of sampler | Unknown | Laboratory sample identification | 17FPCC-0017 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Porterville Rock |
| Transportation Laboratory (TL) Number | C812803C | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Not set | Structure name | Not set |
| Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0022 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2017-01-18-15
DIME Test ID: 2017-01-18-15-1
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: 2017-05-05
Test Results
Input Type: Calculated
Tester's full name: Benjamin Lenz
Date of test: 04/28/2017
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/28/2017 ✔