Summary for Test 2013-05-01-13237733-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7241 DEA: 060E0404 EFIS: 0600000043 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-905/13.1 |
| Award Date | 06/28/2011 |
| Closeout Date | 10/01/2014 |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | IN MADERA COUNTY IN AND NEAR MADERA FROM 0.3 MILE SOUTH OF SOUTH MADERA OVERCROSSING TO 0.4 MILE NORTH OF AVENUE 16 OVERCROSSING |
| QA Service Level | 1 (Verified on 09/28/2012) |
Sample Information
| Sample Taken Date | 05/01/2013 | Sample Unique Key | 13237733 |
|---|---|---|---|
| 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 | 04/16/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Zamora |
| Title of sampler | TE | Telephone number of sampler | Not set |
| Laboratory sample identification | C787041 13FPCC-0185 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Jaxon Enterprise | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | Le Grand |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2013-05-01-13237733
DIME Test ID: 2013-05-01-13237733-1
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: 2013-05-01
Test Results
Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 05/01/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/1/2013 ✔