Test 2013-10-29-10006428-3 (CTM 213-December 2012) Summary

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Project Information
Project IdentifiersProject ID: 3958
DEA: 07215914
EFIS: 0700001831
DIST-CO-RTE-PM07-LA-5-1.2/2.1
Work DescriptionWIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
Sample Information
Sample Taken Date10/29/2013 Sample Unique Key10006428
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 testing11/20/2013
Sample typeAnnual Source Testing A brief description of the sampleWCS PCC Aggregates
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Laboratory sample identification3297B
The fabricator/manufacturer/facility nameRobertsons - Cabazon 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)SMARA 91-33-0008
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 collectedStockpiles
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2013-10-29-10006428
DIME Test ID: 2013-10-29-10006428-3
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2014-04-07
Test Results

Input Type: Measured
Tester's full name: Nadar Rashidi
Date of test: 12/18/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/07/2014