Test 2018-12-06-17-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 213360
DEA: 044A1104
EFIS: 0412000497
DIST-CO-RTE-PM04---
Work DescriptionNot set
Location DescriptionNot set
Sample Information
Sample Taken Date12/6/2018 Sample Unique Key17
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 testing1/29/2019
Sample typeAnnual Source Testing A brief description of the sampleConcrete Sand
The quantity of what the sample constitutes1 bags From where was the sample collectedSource
First name of sampler or witnessed byplant Last name of sampler or witnessed byplant
Title of samplerQC lab tech Laboratory sample identification19-0012
The fabricator/manufacturer/facility nameCEMEX CACHE CREEK Transportation Laboratory (TL) NumberC859585
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)91-57-0008
The fabricator's/manufacturer's product name for the sampleCEMEX CACHE CREEK The fabricator/manufacturer designation for the sampleUnknown
The plant numberCemex Cache Creek A detailed description of where the material sample was collectedplant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot number0
Sublot number0 HMA Design ID
Test Details
DIME Sample ID: 2018-12-06-17
DIME Test ID: 2018-12-06-17-1
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: 2019-03-01
Test Results

Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 03/01/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/01/2019