Test 2016-03-24-11-3 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
Sample Information
Sample Taken Date3/24/2016 Sample Unique Key11
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 testing4/1/2016
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byStefan Last name of sampler or witnessed byReder
Title of samplerQC Manager Laboratory sample identification6112B
The fabricator/manufacturer/facility nameHi Grade Lucern Valley Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91 36 0042
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2016-03-24-11
DIME Test ID: 2016-03-24-11-3
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2019-10-15
Test Results

Input Type: Calculated
Tester's full name: MD Shahjahan
Date of test: 04/18/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/15/2019