Summary for Test 2018-11-27-16-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 213725 DEA: 040P6404 EFIS: 0417000499 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-0.0/6.1 |
| Award Date | 12/24/2018 |
| Closeout Date | 12/26/2019 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT. |
| Location Description | SANTA CLARA COUNTY NEAR GILROY AT VARIOUS LOCATIONS FROM SANTA CRUZ COUNTY LINE TO BODFISH CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/02/2019) |
Sample Information
| Sample Taken Date | 11/27/2018 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 02/19/2019 |
| Sample type | Quality Control | 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 | Fernando | Last name of sampler or witnessed by | Vega |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 19-FPCC-0028 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Los Banos TRP | Transportation Laboratory (TL) Number | C811338 |
| 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) | 91-24-0009::LOS BANOS |
|---|---|---|---|
| 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 | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2018-11-27-16
DIME Test ID: 2018-11-27-16-1
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: 2019-04-24
Test Results
Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 03/25/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/24/2019 ✔