Summary for Test 2021-03-01-46-11

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/01/2021 Sample Unique Key46
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/06/2021
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes150 lbs From where was the sample collectedManufacturer
First name of sampler or witnessed byMANOLITO Last name of sampler or witnessed byLIMOS
Title of samplerQuality Control Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2021-03-01-23
The fabricator/manufacturer/facility nameVulcan - Sheldon Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form3696 Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0017::SHELDON
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 @ Plant
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: 2021-03-01-46
DIME Test ID: 2021-03-01-46-11
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2021-05-05

Test Results


Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 04/23/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/5/2021