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Testing Report for 2018-07-06-10-4

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: 07288604
EFIS: 0700021080
Project ID: 208945
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.0-9.4
Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description: Port of Long Beach (District 7)
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer:
Structure Rep.:

Sample Information

DIME Sample ID: 2018-07-06-10
TL Number from the TL Form: C913576
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 7/6/2018
Date that the sample was received by the laboratory/organization performing the testing: 7/23/2018
The quantity of what the sample constitutes: 1 bags
A brief description of the sample: W/C Sand
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: associated ready mix

Material Information

Source Identification (SMARA or name of Pit): signal hill
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: associated ready mix
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: LWSBS5A
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-07-06-10-4
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Date Tested: 8/30/2018
Verified Date: 8/30/2018
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Is the sample satisfactory or not?: Yes
Does debris exist: No