Test 2016-11-29-11-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 211321
DEA: 041K8004
EFIS: 0416000316
DIST-CO-RTE-PM04-NAP-121-16.7/16.9
Work DescriptionInstall temporary one-way traffic control signals, construct soldier pile retaining wall, reconstruct roadway, place RSP & perform miscellaneous related work
Location DescriptionNot set
Sample Information
Sample Taken Date11/29/2016 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 testing3/14/2017
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutesbags From where was the sample collectedSource
First name of sampler or witnessed byplant Last name of sampler or witnessed byPersonnel
Title of samplerUnknown Laboratory sample identification17CPCC-0123
The fabricator/manufacturer/facility nameCemex Kerlinger Transportation Laboratory (TL) NumberC872323
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)91-39-0015::KERLINGER - RHODES
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 @ Plant
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: 2016-11-29-11
DIME Test ID: 2016-11-29-11-1
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: 2017-05-30
Test Results

Input Type: Calculated
Tester's full name: Benjamin Lenz
Date of test: 05/30/2017
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/30/2017