Test 2016-11-16-14-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 210866
DEA: 042G8504
EFIS: 0412000008
DIST-CO-RTE-PM04-ALA-580-R4.0
Work DescriptionCONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR
Location DescriptionCONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR
Sample Information
Sample Taken Date11/16/2016 Sample Unique Key14
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 testing3/24/2017
Sample typeAnnual Source Testing A brief description of the sampleFine Aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byB Last name of sampler or witnessed bySingh
Title of samplerUnknown Laboratory sample identification17CPCC-0150
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) NumberC968784
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)91-39-0021::VERNALIS
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: 2016-11-16-14
DIME Test ID: 2016-11-16-14-1
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: 2017-06-22
Test Results

Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 06/22/2017
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 06/22/2017