DIME - Test Summary

Summary for Test 2024-05-20-176-6

Test performed: CTM 213-December 2012

Project Identifiers	DEA: No Project
DIST-CO-RTE-PM	---
Award Date	Not set
Closeout Date	11/01/2022
Work Description	Special project identifier for material not associated with a project
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	05/20/2024	Sample Unique Key	176
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	05/20/2024
Sample type	Aggregate Prequalification Program	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	Annual Source Testing	From where was the sample collected	Source
First name of sampler or witnessed by	Jonathan	Last name of sampler or witnessed by	Vasquez
Title of sampler	QC Supervisor	Telephone number of sampler	(661) 675-5019
Laboratory sample identification		Linked DIME Sample ID	2024-05-20-82
The fabricator/manufacturer/facility name	Cemex Rockfield	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-10-0014
The fabricator's/manufacturer's product name for the sample	Washed Concrete Sand	The fabricator/manufacturer designation for the sample
The plant number	4401	A detailed description of where the material sample was collected	Stockpile @ Plant
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: 2024-05-20-176

DIME Test ID: 2024-05-20-176-6

Testing Lab: CEMEX - Central & Southern California

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

Test Release Date: 2024-10-31

Input Type: Calculated

Tester's full name: Josh Guilmette

Date of test: 05/20/2024

Is the sample satisfactory or not?: Yes

Does debris exist: No

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

Test was verified on 10/31/2024 ✔