Summary for Test 2016-06-22-15-4

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210829
DEA: 07302904
EFIS: 0713000478
DIST-CO-RTE-PM07-LA-5-C43.9/C46.4
Award Date01/13/2016
Closeout Date06/25/2019
Work DescriptionREPLACE CONCRETE SLABS/PAVEMENT.
Location DescriptionIN LA, RT 5 TRUCK LANES CNTY LN ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
QA Service Level1 (Verified on 12/16/2015)

Sample Information

Sample Taken Date06/22/2016 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 testing06/23/2016
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutesUnknown From where was the sample collectedSource
First name of sampler or witnessed byAlvaro Last name of sampler or witnessed byFarnetti
Title of samplerQC Tech Telephone number of samplerUnknown
Laboratory sample identification6273B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Construction Transportation Laboratory (TL) NumberC 6 16 3
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)SMARA 91 19 0008
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 collectedGranite Construction Littlerock Stockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2016-06-22-15
DIME Test ID: 2016-06-22-15-4
Testing Lab: CT D08 - Fontana 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: Danilo Ferrer
Date of test: 07/06/2016
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