Summary for Test 2019-12-05-20-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 214059 DEA: 042K7504 EFIS: 0417000019 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-7.6/M10.2 |
| Award Date | 05/24/2019 |
| Closeout Date | 04/12/2021 |
| Work Description | ROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES. |
| Location Description | SANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101 |
| QA Service Level | 1 (Verified on 06/04/2019) |
Sample Information
| Sample Taken Date | 12/05/2019 | Sample Unique Key | 20 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/14/2020 | Sample type | Annual Source Testing |
| A brief description of the sample | PCC Sand | The quantity of what the sample constitutes | 1 Bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | Art |
| Last name of sampler or witnessed by | Flores | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 20-PCCF-0028 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Vulcan - Triangle Rock Los Banos | |
| Transportation Laboratory (TL) Number | C934603 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| 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: 2019-12-05-20
DIME Test ID: 2019-12-05-20-1
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: 2020-04-07
Test Results
Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 04/03/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/7/2020 ✔