Test 2014-04-14-8056594-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7571
DEA: 06471004
EFIS: 0600000463
DIST-CO-RTE-PM06-MAD-99-R6.9/R8.2
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.6 MILE SOUTH OF AVENUE 12 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 12 OVERCROSSING
Sample Information
Sample Taken Date4/14/2014 Sample Unique Key8056594
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing3/25/2014
Sample typePer Request A brief description of the sampleSand
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byOscar Last name of sampler or witnessed bySherill
Title of samplerNot set Laboratory sample identification14FPCC-0136 C812734C
The fabricator/manufacturer/facility nameJaxon Baker 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)NA
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 collectedLe Grand Asphalt
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: 2014-04-14-8056594
DIME Test ID: 2014-04-14-8056594-1
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: 2014-04-14
Test Results

Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 04/14/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/14/2014