Summary for Test 2014-12-15-1-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 209186
DEA: 04153304
EFIS: 0400020304
DIST-CO-RTE-PM04-SCL-101-0.0/26.7
Award Date04/02/2014
Closeout Date08/22/2018
Work DescriptionINSTALL TOS, RAMP METERING AND RAMP WIDENING.
Location DescriptionSANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM SAN BENITO COUNTY LINE TO ROUTE 85/101 INTERCHANGE
QA Service Level1 (Verified on 04/11/2014)

Sample Information

Sample Taken Date12/15/2014 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing01/07/2015 Sample typeAnnual Source Testing
A brief description of the sampleSand The quantity of what the sample constitutes1 Bag
From where was the sample collectedSource First name of sampler or witnessed byWagdy
Last name of sampler or witnessed byWassef Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identification15Fpcc-0024
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namecemex orca
Transportation Laboratory (TL) NumberC810918 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)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleCemex Pleasanton
The plant numberUnknown A detailed description of where the material sample was collectedstockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2014-12-15-1
DIME Test ID: 2014-12-15-1-1
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: 2015-01-29

Test Results


Input Type: Calculated
Tester's full name: Thomas Stinnett
Date of test: 01/07/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/29/2015 ✔