Summary for Test 2017-02-23-13-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210618
DEA: 06342534
EFIS: 0600000382
COOP: 061616A2
DIST-CO-RTE-PM06-FRE-180-R74.1/R78.6
Award Date04/05/2017
Closeout Date07/06/2021
Work DescriptionCONSTRUCT SEGMENT 3 OF KINGS CANYON EXPRESSWAY
Location DescriptionFRESNO COUNTY ABOUT 8.4 MILES EAST OF FRESNO FROM 0.7 MILE WEST OF SMITH AVENUE TO 0.7 MILE EAST OF FRANKWOOD AVENUE
QA Service Level1 (Verified on 07/10/2017)

Sample Information

Sample Taken Date02/23/2017 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testing03/10/2017 Sample typeAnnual Source Testing
A brief description of the sampleFine PCC Aggregate The quantity of what the sample constitutes1 bag
From where was the sample collectedSource First name of sampler or witnessed byM
Last name of sampler or witnessed byShirvani Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identification17FPCC-0098
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameVulcan Sanger
Transportation Laboratory (TL) NumberC812810D Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0010
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile at Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2017-02-23-13
DIME Test ID: 2017-02-23-13-1
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 ✔