Test 2019-03-11-17-15 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 213647
DEA: 080N9724
EFIS: 0815000102
DIST-CO-RTE-PM08-SBD-395-35.5/39.1
Work DescriptionCONSTRUCT MEDIAN AND WIDENING SHOULDER
Location DescriptionSAN BERNARDINO COUNTY NEAR ADELANTO FROM 1.3 MILES SOUTH TO 2.3 MILES NORTH OF KRAMER ROAD
Sample Information
Sample Taken Date3/11/2019 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 testing3/11/2019
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes 2 bags From where was the sample collectedSource
First name of sampler or witnessed byStefan Last name of sampler or witnessed byReder
Title of sampler Laboratory sample identification8519
The fabricator/manufacturer/facility nameAgcon- Oro Grande 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)91-36-0046::AGCON, INC.
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID
Test Details
DIME Sample ID: 2019-03-11-17
DIME Test ID: 2019-03-11-17-15
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2019-05-08
Test Results

Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 03/19/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/01/2019