Summary for Test 2018-01-29-7-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 211201
DEA: 074Y8504
EFIS: 0700020042
DIST-CO-RTE-PM07-LA-103-0.9/1.2
Award Date04/13/2016
Closeout Date10/05/2020
Work DescriptionSPOT BLAST, CLEAN AND PAINT EXISTING BRIDGE
Location DescriptionNot set
QA Service Level1 (Verified on 06/30/2017)

Sample Information

Sample Taken Date01/29/2018 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing02/07/2018 Sample typeQuality Control
A brief description of the sample3/8 in. lightweight agg The quantity of what the sample constitutes1 bag
From where was the sample collectedJob Site First name of sampler or witnessed byHonesto
Last name of sampler or witnessed byCastillo Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identification18-0019
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameNA
Transportation Laboratory (TL) NumberC914512A Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)NA
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Test Details

DIME Sample ID: 2018-01-29-7
DIME Test ID: 2018-01-29-7-1
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: 2018-03-28

Test Results


Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 02/15/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 3/28/2018 ✔