Test 2019-01-28-1-7 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
Sample Information
Sample Taken Date1/28/2019 Sample Unique Key1
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 testing1/28/2019
Sample typeAggregate Prequalification Program A brief description of the sampleTest APP
The quantity of what the sample constitutesTest APP From where was the sample collectedSource
First name of sampler or witnessed byTest APP Last name of sampler or witnessed byTest APP
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameTest APP 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)Test APP
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 collectedTest APP
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 HMA Design ID
Test Details
DIME Sample ID: 2019-01-28-1
DIME Test ID: 2019-01-28-1-7
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: 2019-01-29
Test Results

Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 01/29/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/29/2019