Test 2014-04-16-13009846-3 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7427
DEA: 07215934
EFIS: 0700001833
DIST-CO-RTE-PM07-LA-5-2.4/4.0
Work DescriptionWiden and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
Sample Information
Sample Taken Date4/16/2014 Sample Unique Key13009846
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 testing4/18/2014
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 byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Laboratory sample identification4128B
The fabricator/manufacturer/facility nameVulcan Materials Company - San Bernardino 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 No. 91-36-0012
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: 2014-04-16-13009846
DIME Test ID: 2014-04-16-13009846-3
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: 04/23/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 250 characters):

Test was verified on 02/20/2015