Test 2014-04-22-8002608-3 (CTM 213-December 2012) Summary

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Project Information
Project IdentifiersProject ID: 4042
DEA: 07252804
EFIS: 0700000455
DIST-CO-RTE-PM07-LA-5-R73.2/R88.6
Work DescriptionREPLACE PCC PAVEMENT AND WIDEN MEDIAN SHOULDER.
Location DescriptionLOS ANGELES COUNTY ABOUT 13 MILES NORTH OF CASTAIC FROM 1.2 MILES SOUTH OF VISTA DEL LAGO OVERCROSSING TO KERN COUNTY LINE
Sample Information
Sample Taken Date4/22/2014 Sample Unique Key8002608
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 testing4/25/2014
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerMREA Laboratory sample identification4135B
The fabricator/manufacturer/facility nameGriffith Edmonston 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)SMARA 91-15-0068
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 at the Plant
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-04-22-8002608
DIME Test ID: 2014-04-22-8002608-3
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2014-07-25
Test Results

Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 05/01/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/25/2014