Summary for Test 2014-02-20-6002453-3
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 209076 DEA: 080K2304 EFIS: 0800000337 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R57.6/R60.9 |
| Award Date | 11/08/2013 |
| Closeout Date | 01/29/2015 |
| Work Description | PAVE SHOULDER WITH RHMA-G, REPLACE CONC SLABS, RAMPS, GRIND CONC |
| Location Description | RIVERSIDE COUNTY IN AND NEAR COACHELLA FROM SOUTH JUNCTION ROUTE 86S TO 0.5 MILE EAST OF COACHELLA CANAL BRIDGE |
| QA Service Level | 1 (Verified on 10/08/2013) |
Sample Information
| Sample Taken Date | 02/20/2014 | Sample Unique Key | 6002453 |
|---|---|---|---|
| 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 testing | 02/25/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | WCS |
| The quantity of what the sample constitutes | 6 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | 4084B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | West Coast Aggregate | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA No. 91-33-0072 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2014-02-20-6002453
DIME Test ID: 2014-02-20-6002453-3
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: 2014-04-11
Test Results
Input Type: Calculated
Tester's full name: Nader Rashidi
Date of test: 02/26/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/11/2014 ✔