Summary for Test 2014-12-12-3-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 209135 DEA: 04235844 EFIS: 0400000684 COOP: 042493 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.3/17.06 |
| Award Date | 06/25/2014 |
| Closeout Date | 12/17/2019 |
| Work Description | RECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT, |
| Location Description | BURLINGAME |
| QA Service Level | 1 (Verified on 10/03/2013) |
Sample Information
| Sample Taken Date | 12/12/2014 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/23/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | Concrete Blend Sand |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Wilkinson |
| Title of sampler | QC | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15-0050 6808-14C | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite Quail Hollow Felton | Transportation Laboratory (TL) Number | C911215 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-44-0007 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Quail Hollow | The fabricator/manufacturer designation for the sample | Blend Sand |
| 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: 2014-12-12-3
DIME Test ID: 2014-12-12-3-1
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: 2015-02-10
Test Results
Input Type: Calculated
Tester's full name: Ed Perez
Date of test: 01/30/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/10/2015 ✔