DIME - Test Summary

Summary for Test 2024-12-09-24-3

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676
DIST-CO-RTE-PM	04-SOL-80-R10.4/30.2
Award Date	01/18/2022
Closeout Date	Not set
Work Description	Highway widening, overhead signs, and electronic toll system.
Location Description	In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
QA Service Level	1 (Verified on 04/11/2022)

Sample Taken Date	12/09/2024	Sample Unique Key	24
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	12/10/2024
Sample type	Annual Source Testing	A brief description of the sample	SAND
The quantity of what the sample constitutes	PCC Annual Source Testing	From where was the sample collected	Source
First name of sampler or witnessed by	Jacob	Last name of sampler or witnessed by	Vega
Title of sampler	Lab Technician	Telephone number of sampler	8316826277
Laboratory sample identification	Con_24_956	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granite Capay	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)	91-54-0014
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	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: 2024-12-09-24

DIME Test ID: 2024-12-09-24-3

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: 2025-07-14

Input Type: Calculated

Tester's full name: Satish Jain

Date of test: 06/07/2025

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters): Sample tested at SRL due to Translab shutdown

Test was verified on 7/14/2025 ✔