Test 2016-06-17-18-3 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
Sample Information
Sample Taken Date6/17/2016 Sample Unique Key18
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 testing5/17/2016
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 byOsvaldo Last name of sampler or witnessed byGuzman
Title of samplerQC Tech Laboratory sample identification6178B
The fabricator/manufacturer/facility nameVulcan Reliance Transportation Laboratory (TL) NumberC-16-106
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 19 0016
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 collectedStockpiles
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 HMA Design ID
Test Details
DIME Sample ID: 2016-06-17-18
DIME Test ID: 2016-06-17-18-3
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: 06/08/2016
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