Summary for Test 2017-12-01-7-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 211875 DEA: 040J6404 EFIS: 0414000021 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-29.3/R43.4 |
| Award Date | 03/03/2017 |
| Closeout Date | 06/21/2019 |
| Work Description | RESURFACE AND RESTORE PAVEMENT FOR MAINLINE AND RAMPS |
| Location Description | SONOMA COUNTY IN AND NEAR WINDSOR AND HEALDSBURG FROM WINDSOR LANE UNDERCROSSING TO ROUTE 101/128 SEPARATION |
| QA Service Level | 1 (Verified on 04/18/2017) |
Sample Information
| Sample Taken Date | 12/01/2017 | Sample Unique Key | 7 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/23/2018 | 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 | Jeff |
| Last name of sampler or witnessed by | Rohds | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | 18-0080 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Canyon Rock Quarry |
| Transportation Laboratory (TL) Number | C856333 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| 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) | 91-49-0004::CANYON ROCK CO., INC. |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
Test Details
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2017-12-01-7
DIME Test ID: 2017-12-01-7-1
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: 2018-05-24
Test Results
Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 05/24/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/24/2018 ✔