DIME - Test Summary

Summary for Test 2019-10-31-28-1

Test performed: CTM 213-December 2012

Sample Taken Date	10/31/2019	Sample Unique Key	28
Date that the sample was received by the laboratory/organization performing the testing	01/02/2020	Sample type	Annual Source Testing
A brief description of the sample	Sand	The quantity of what the sample constitutes	3 bags
From where was the sample collected	Source	First name of sampler or witnessed by	cj
Last name of sampler or witnessed by	Sousa	Title of sampler
Telephone number of sampler		Laboratory sample identification	20-0002
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Granite Capay
Transportation Laboratory (TL) Number	c870911	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-57-0014::CAPAY
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 Quarry
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

DIME Sample ID: 2019-10-31-28

DIME Test ID: 2019-10-31-28-1

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: 2020-01-17

Input Type: Measured

Tester's full name: Jay Horton

Date of test: 01/03/2020

Is the sample satisfactory or not?: Yes

Does debris exist: No

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

Test was verified on 1/17/2020 ✔