Summary for Test 2013-12-03-12501944-3

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 3995
DEA: 072332A4
EFIS: 0700000390
DIST-CO-RTE-PM07-LA-5-R46.3/R50.0
Award Date02/27/2012
Closeout Date06/02/2015
Work DescriptionWIDEN ROADWAY AND BRIDGES WITH PCC AND CONSTRUCT RETAINING WALLS.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.3 MILE SOUTH OF WELDON CANYON OVERCROSSING TO 0.4 MILE SOUTH OF PICO CANYON ROAD/LYONS AVENUE OVERCROSSING
QA Service Level1 (Verified on 04/23/2012)

Sample Information

Sample Taken Date12/03/2013 Sample Unique Key12501944
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 testing12/19/2013
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPollard
Title of samplerSupervisor of Technical Services Telephone number of samplerNot set
Laboratory sample identification3360B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Materials Company - Palmdale 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, name of Pit or Job Site)91-19-0020::PALMDALE
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 Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2013-12-03-12501944
DIME Test ID: 2013-12-03-12501944-3
Testing Lab: CT D08 - Fontana 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: Calculated
Tester's full name: Nader Rashidi
Date of test: 01/03/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/7/2014