Summary for Test 2013-05-01-13286955-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7446 DEA: 06442624 EFIS: 0600000972 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE,MAD-99-26.7/R31.6,R0.0/R1.6 |
| Award Date | 10/10/2012 |
| Closeout Date | 02/22/2017 |
| Work Description | FREEWAY TO BE WIDENED AND REPLACE BRIDGE. |
| Location Description | FRESNO AND MADERA COUNTIES IN AND NEAR FRESNO FROM 0.2 MILES NORTH OF ASHLAN AVENUE OVERCROSSING TO 0.6 MILE NORTH OF AVENUE 7 OVERCROSSING |
| QA Service Level | 1 (Verified on 11/06/2012) |
Sample Information
| Sample Taken Date | 05/01/2013 | Sample Unique Key | 13286955 |
|---|---|---|---|
| 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 | C787042B 13FPCC-0187 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Calaverras | 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) | Merced River Rock |
|---|---|---|---|
| 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: 2013-05-01-13286955
DIME Test ID: 2013-05-01-13286955-1
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 ✔