Summary for Test 2016-12-12-12-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210369
DEA: 042J2004
DIST-CO-RTE-PM04-SCL-152-30.4/35.2
Award Date05/29/2015
Closeout Date12/22/2017
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HOT MIX ASPHALT.
Location DescriptionSANTA CLARA COUNTY 20 MILES EAST OF GILROY FROM PACHECO CREEK TO SANTA CLARA / MERCED COUNTY LINE
QA Service Level1 (Verified on 09/17/2015)

Sample Information

Sample Taken Date12/12/2016 Sample Unique Key12
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 testing03/24/2017
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byDennis Last name of sampler or witnessed byYeung
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0163 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Pleasanton Transportation Laboratory (TL) NumberC934739
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)NA
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: 2016-12-12-12
DIME Test ID: 2016-12-12-12-1
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: 2017-06-28

Test Results


Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 06/27/2017
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/28/2017