Test 2013-05-01-13286955-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7446
DEA: 06442624
EFIS: 0600000972
DIST-CO-RTE-PM06-FRE,MAD-99-26.7/R31.6,R0.0/R1.6
Work DescriptionFREEWAY TO BE WIDENED AND REPLACE BRIDGE.
Location DescriptionFRESNO AND MADERA COUNTIES IN AND NEAR FRESNO FROM 0.2 MILES NORTH OF ASHLAN AVENUE OVERCROSSING TO 0.6 MILE NORTH OF AVENUE 7 OVERCROSSING
Sample Information
Sample Taken Date5/1/2013 Sample Unique Key13286955
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 sampleSand
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 identificationC787042B 13FPCC-0187
The fabricator/manufacturer/facility nameCalaverras 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)Merced River Rock
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: 2013-05-01-13286955
DIME Test ID: 2013-05-01-13286955-1
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