Summary for Test 2013-06-21-7037731-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 7629
DEA: 060J0404
EFIS: 0600000156
DIST-CO-RTE-PM06-KIN-41-R37.5/R38.1
Award Date10/29/2012
Closeout Date06/21/2013
Work DescriptionCONTSTRUCT LEFT TURN CHANNELIZATION AND INSTALL LIGHTING.
Location DescriptionKINGS COUNTY NEAR LEMOORE FROM 0.3 MILE SOUTH OF JACKSON AVENUE TO 0.3 MILE NORTH OF JACKSON AVENUE
QA Service Level1 (Verified on 09/24/2012)

Sample Information

Sample Taken Date06/21/2013 Sample Unique Key7037731
Date that the sample was received by the laboratory/organization performing the testing06/18/2013 Sample typeAnnual Source Testing
A brief description of the sampleSand The quantity of what the sample constitutes1Bag
From where was the sample collectedSource First name of sampler or witnessed byDallia
Last name of sampler or witnessed byFoster Title of samplerTe
Telephone number of samplerNot set Laboratory sample identification13FPCC-0259 / C875895
Linked DIME Sample IDNot set The fabricator/manufacturer/facility nameJ/Baker Auenal
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)None
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2013-06-21-7037731
DIME Test ID: 2013-06-21-7037731-1
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: 2013-06-21

Test Results


Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 06/21/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/21/2013 ✔