DIME - Test Summary

Summary for Test 2018-12-06-14-1

Test performed: CTM 213-December 2012

Sample Taken Date	12/06/2018	Sample Unique Key	14
Date that the sample was received by the laboratory/organization performing the testing	01/29/2019	Sample type	Annual Source Testing
A brief description of the sample	Fine Aggregates	The quantity of what the sample constitutes	1 bags
From where was the sample collected	Source	First name of sampler or witnessed by	plant
Last name of sampler or witnessed by	plant	Title of sampler	QC lab tech
Telephone number of sampler		Laboratory sample identification	19-0008
Linked DIME Sample ID		The fabricator/manufacturer/facility name	CEMEX
Transportation Laboratory (TL) Number	C859582	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier	Not set	Structure name	Not set
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-39-0015
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Tracy
The plant number	Unknown	A detailed description of where the material sample was collected	CEMEX KERLINGER
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	1
Sublot number	1	Aggregate Mix Number	Not set

DIME Sample ID: 2018-12-06-14

DIME Test ID: 2018-12-06-14-1

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: 2019-02-15

Input Type: Calculated

Tester's full name: Bang Nguyen

Date of test: 02/15/2019

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/15/2019 ✔