Summary for Test 2019-12-09-16-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 212300 DEA: 044G3804 EFIS: 0412000463 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-30.9/31.4 |
| Award Date | 03/15/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Construct Bridge, Retaining Walls, Traffic Signal |
| Location Description | SONOMA COUNTY NEAR COTATI FROM 0.3 MILE EAST OF HESSEL ROAD TO 0.1 MILE EAST OF BARTLESON ROAD |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 12/09/2019 | 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 | 02/14/2020 |
| Sample type | Annual Source Testing | A brief description of the sample | PCC Sand |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dan | Last name of sampler or witnessed by | Ostrand |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 20-PCCF-0036 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Syar Healdsburg | Transportation Laboratory (TL) Number | C870894 |
| 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) | 91-49-0030 |
|---|---|---|---|
| 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: 2019-12-09-16
DIME Test ID: 2019-12-09-16-1
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: 2020-05-05
Test Results
Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 04/16/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/5/2020 ✔