Test 2016-06-07-15-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 210946
DEA: 060T5904
EFIS: 0615000155
DIST-CO-RTE-PM06-TUL-137;190-18.2/27.4;26.5/56.6
Work DescriptionPLACE POLYMER ASPHALTIC EMULSION (SEAL COAT).
Location DescriptionNot set
Sample Information
Sample Taken Date6/7/2016 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 testing6/14/2016
Sample typeAcceptance A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byRuiz
Title of samplerUnknown Laboratory sample identification16FPCC-0246
The fabricator/manufacturer/facility nameDeer Creek Transportation Laboratory (TL) Numberc983199
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)Unknown
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 Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2016-06-07-15
DIME Test ID: 2016-06-07-15-1
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: 2016-06-28
Test Results

Input Type: Calculated
Tester's full name: Benjamin Lenz
Date of test: 06/22/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 06/28/2016