Summary for Test 2017-11-21-12-3
Test performed: CTM 217-November 2014Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 11/21/2017 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/22/2017 |
| Sample type | Quality Control | A brief description of the sample | Rock and Sand |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Bobby | Last name of sampler or witnessed by | Togores |
| Title of sampler | QC Field Technician | Telephone number of sampler | Unknown |
| Laboratory sample identification | Mix S72500 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | National Ready Mix Artesia | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0027: Corona |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Set 1 | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | S72500 | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2017-11-21-12
DIME Test ID: 2017-11-21-12-3
Testing Lab: G3 Quality, Incorporated - Cerritos
Test Method: CTM 217-November 2014: Method of Test for Sand Equivalent
Test Release Date: 2017-12-19
Test Results
How many times will the test be run?: Once
Input Type: Calculated
Tester's full name: Francisco Miranda
Date of test: 11/22/2017
Sand Equivalent: 94
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/19/2017 ✔