Test 2020-12-02-15-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 213727
DEA: 041A6834
EFIS: 0412000335
DIST-CO-RTE-PM04-ALA-880-28.5 / 29.2
Work DescriptionREHABILITATE ROADWAY.
Location DescriptionIN OAKLAND, FROM 23RD TO 29TH STREET.
Sample Information
Sample Taken Date12/2/2020 Sample Unique Key15
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 testing1/27/2021
Sample typeAnnual Source Testing A brief description of the samplefine aggregate
The quantity of what the sample constitutes1-bag fine aggregate From where was the sample collectedSource
First name of sampler or witnessed byplant personnel Last name of sampler or witnessed byplant personnel
Title of samplerQC Tech Laboratory sample identification21-PCCF-0010
The fabricator/manufacturer/facility nameVulcan Pleasanton Transportation Laboratory (TL) NumberC924557
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-01-0010
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID
Test Details
DIME Sample ID: 2020-12-02-15
DIME Test ID: 2020-12-02-15-1
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: 2021-02-18
Test Results

Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 01/29/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/18/2021