Test 2013-05-01-13237733-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7241
DEA: 060E0404
EFIS: 0600000043
DIST-CO-RTE-PM06-MAD-99-905/13.1
Work DescriptionPAVEMENT REHABILITATION
Location DescriptionIN MADERA COUNTY IN AND NEAR MADERA FROM 0.3 MILE SOUTH OF SOUTH MADERA OVERCROSSING TO 0.4 MILE NORTH OF AVENUE 16 OVERCROSSING
Sample Information
Sample Taken Date5/1/2013 Sample Unique Key13237733
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 testing4/16/2013
Sample typeAnnual Source Testing A brief description of the sample Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byM Last name of sampler or witnessed byZamora
Title of samplerTE Laboratory sample identificationC787041 13FPCC-0185
The fabricator/manufacturer/facility nameJaxon Enterprise 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)Le Grand
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: 2013-05-01-13237733
DIME Test ID: 2013-05-01-13237733-1
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: 2013-05-01
Test Results

Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 05/01/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 250 characters):

Test was verified on 05/01/2013