Summary for Test 2018-03-07-5-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 212869
DEA: 060V1804
EFIS: 0617000169
DIST-CO-RTE-PM06-KER,TUL-99,190-49.3/57.6;14.6/20.9
Award Date01/16/2018
Closeout Date10/23/2020
Work DescriptionCOLD PLANE, REPAIR FAILED AC PVMT AND RESURFACE WITH RHMA-O(BWC).
Location DescriptionKERN AND TULARE COUNTIES IN AND NEAR MCFARLAND ON ROUTE 99 FROM SHERWOOD AVENUE OVERCROSSING TO TULARE COUNTY LINE AND IN AND NEAR PORTERVILLE ON ROUTE 190 FROM 0.3 MILE WEST OF PROSPECT STREET TO 0.2 MILE WEST OF ROAD 284
QA Service Level1 (Verified on 12/19/2018)

Sample Information

Sample Taken Date03/07/2018 Sample Unique Key5
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 testing03/16/2018
Sample typeQuality Control A brief description of the sample1 x 4 PCC Aggregate and Sand
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byM Last name of sampler or witnessed byRuiz
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification18-0026 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namePorterville Rock Transportation Laboratory (TL) NumberC980224C
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0028::BOYDSTON MINE PIT
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Test Details

DIME Sample ID: 2018-03-07-5
DIME Test ID: 2018-03-07-5-1
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: 2018-04-03

Test Results


Input Type: Measured
Tester's full name: Phillip Montes
Date of test: 03/30/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/3/2018