Test 2014-02-27-11410333-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7467
DEA: 043A9214
EFIS: 0412000339
COOP: 042445
DIST-CO-RTE-PM04-ALA-880-22.6/24.0
Work DescriptionWIDEN FREEWAY, REPLACE OVERCROSSINGS, AND RECONSTRUCT RAMPS/ROADS.
Location DescriptionALAMEDA COUNTY IN SAN LEANDRO FROM 0.4 MILE SOUTH OF MARINA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF ROUTE 112/880 SEPARATION
Sample Information
Sample Taken Date2/27/2014 Sample Unique Key11410333
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 testing2/10/2014
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 byBahadur Last name of sampler or witnessed bySingh
Title of samplerNot set Laboratory sample identification14FPCC-0084 C690246
The fabricator/manufacturer/facility nameGranite Vernalis 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)91-39-0002
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: 2014-02-27-11410333
DIME Test ID: 2014-02-27-11410333-1
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: 2014-02-27
Test Results

Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 02/27/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/27/2014