Test 2014-01-09-10599351-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 2358
DEA: 044A3304
EFIS: 0400001126
DIST-CO-RTE-PM04-SCL-101-48.7/52.0
Work DescriptionCONSTRUCT AUXILIARY LANES ,EXTEND EXIST. HOV LANES IN BOTH DIRECTION.
Location DescriptionSANTA CLARA COUNTY IN MOUNTAIN VIEW AND PALO ALTO FROM 0.1 MILE NORTH OF SHORELINE BOULEVARD OVERCROSSING TO OREGON EXPRESSWAY OVERCROSSING
Sample Information
Sample Taken Date1/9/2014 Sample Unique Key10599351
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 sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byMoaid Last name of sampler or witnessed byLaymoun
Title of samplerEngr Laboratory sample identificationNot set
The fabricator/manufacturer/facility nameCemex / Orca 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)14FPCC-0005 C713889
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: 2014-01-09-10599351
DIME Test ID: 2014-01-09-10599351-1
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