Summary for Test 2014-12-02-1-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 209040 DEA: 042A2504 EFIS: 0400000813 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-0.1/5.2 |
| Award Date | 05/29/2014 |
| Closeout Date | 04/14/2021 |
| Work Description | ROADWAY REALIGNMENT AND CONSTRUCT RETAINING WALLS |
| Location Description | SANTA CLARA COUNTY NEAR GILROY AT VARIOUS LOCATIONS FROM 0.2 MILE NORTH OF BELLA VISTA LANE TO 0.2 MILE EAST OF WATSONVILLE ROAD |
| QA Service Level | 1 (Verified on 10/11/2013) |
Sample Information
| Sample Taken Date | 12/02/2014 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/07/2015 | Sample type | Annual Source Testing |
| A brief description of the sample | Sand | The quantity of what the sample constitutes | 1 Bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | Nilesh |
| Last name of sampler or witnessed by | Pandya | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | 15Fpcc-0027 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Triangle Rock Los Banos |
| Transportation Laboratory (TL) Number | C385663 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Not set | Structure name | Not set |
| Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-24-0009 |
|---|---|---|---|
| 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 | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2014-12-02-1
DIME Test ID: 2014-12-02-1-1
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 ✔