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Testing Report for 2018-09-26-25-3

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

Project Information

EFIS: 0019000052
Project ID: 66666
QA Service Level:
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-09-26-25
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT SC Sub-unit 3668-105
Sample Organization Contact:
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 9/26/2018
Date that the sample was received by the laboratory/organization performing the testing: 9/27/2018
The quantity of what the sample constitutes: 500 TONS
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification: 8333
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex - Redlands

Material Information

Source Identification (SMARA or name of Pit): 91-36-0068::REDLANDS WASH PLAN (CEMEX)
The fabricator's/manufacturer's product name for the sample: Washed Concrete Sand
The fabricator/manufacturer designation for the sample: Unknown
The plant number: 4420
A detailed description of where the material sample was collected: Quarry
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:
Sublot number:

Test Information

DIME Test ID: 2018-09-26-25-3
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Date Tested: 9/27/2018
Verified Date: 1/29/2019
Submitted By Organization: CT SC Sub-unit 3668-105
Organization Address: ,
Organization City:
Organization State:
Organization Zipcode:
Organization Email:
Organization Phone:
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