Test 2014-01-09-10473383-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7914
DEA: 042A4404
EFIS: 0400000823
DIST-CO-RTE-PM04-SCL-152-16.2/R16.5R18.5/R19.5
Work DescriptionPLACE WIDEN HMA RDWY, CONST SOIL NAIL WALLS, RWS; LEFT TURN LANE.
Location DescriptionSANTA CLARA COUNTY NEAR GILROY FROM OLD LAKE ROAD TO 0.3 MILE EAST OF OLD LAKE ROAD AND FROM 0.4 MILE WEST TO 0.6 MILE EAST OF LOVERS LANE
Sample Information
Sample Taken Date1/9/2014 Sample Unique Key10473383
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 testing1/6/2014
Sample typeAnnual Source Testing A brief description of the sampleNot set
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byVernon Last name of sampler or witnessed byNguyen
Title of samplerEngr. Laboratory sample identificationNot set
The fabricator/manufacturer/facility nameTriangle Rock / Los Banos Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-24-0009
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-01-09-10473383
DIME Test ID: 2014-01-09-10473383-1
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: 2014-01-10
Test Results

Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 01/09/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/10/2014