Summary for Test 2024-09-04-48-2
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 09/04/2024 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 | 09/04/2024 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Concrete Sand |
| The quantity of what the sample constitutes | production stockpile. | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Trenton | Last name of sampler or witnessed by | Crouse |
| Title of sampler | QC Supervisor | Telephone number of sampler | 916-607-9151 |
| Laboratory sample identification | Linked DIME Sample ID | 2024-09-04-25 | |
| The fabricator/manufacturer/facility name | Teichert Aggregates Woodland | Transportation Laboratory (TL) Number | |
| 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) | 91-57-0002 |
|---|---|---|---|
| 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 | Production 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: 2024-09-04-48
DIME Test ID: 2024-09-04-48-2
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: 2024-10-09
Test Results
Input Type: Measured
Tester's full name: Aristeo Flores/ Jeff Roberts
Date of test: 09/23/2024
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/9/2024 ✔