Test 2014-05-21-7001692-3 (CTM 213-December 2012) Summary

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Project Information
Project IdentifiersProject ID: 4085
DEA: 07286904
EFIS: 0700020897
DIST-CO-RTE-PM07-LA-60-11.6/R23.6
Work DescriptionREPLACE PCC SLABS & ELECTRICAL LOOPS AND GRIND PAVEMENT.
Location DescriptionLOS ANGELES COUNTY IN CITY OF INDUSTRY AND DIAMOND BAR FROM ROUTE 60/605 SEPARATION TO S57/60 SEPARATION
Sample Information
Sample Taken Date5/21/2014 Sample Unique Key7001692
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 testing5/21/2014
Sample typeAnnual Source Testing A brief description of the sampleWCS
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Laboratory sample identification4148B
The fabricator/manufacturer/facility nameVulcan Durbin 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 91-19-0023
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
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: 2014-05-21-7001692
DIME Test ID: 2014-05-21-7001692-3
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2015-02-20
Test Results

Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 06/03/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/20/2015