Summary for Test 2013-06-21-7037731-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7629 DEA: 060J0404 EFIS: 0600000156 |
|---|---|
| DIST-CO-RTE-PM | 06-KIN-41-R37.5/R38.1 |
| Award Date | 10/29/2012 |
| Closeout Date | 06/21/2013 |
| Work Description | CONTSTRUCT LEFT TURN CHANNELIZATION AND INSTALL LIGHTING. |
| Location Description | KINGS COUNTY NEAR LEMOORE FROM 0.3 MILE SOUTH OF JACKSON AVENUE TO 0.3 MILE NORTH OF JACKSON AVENUE |
| QA Service Level | 1 (Verified on 09/24/2012) |
Sample Information
| Sample Taken Date | 06/21/2013 | Sample Unique Key | 7037731 |
|---|---|---|---|
| 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 testing | 06/18/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dallia | Last name of sampler or witnessed by | Foster |
| Title of sampler | Te | Telephone number of sampler | Not set |
| Laboratory sample identification | 13FPCC-0259 / C875895 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | J/Baker Auenal | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | None |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2013-06-21-7037731
DIME Test ID: 2013-06-21-7037731-1
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: 2013-06-21
Test Results
Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 06/21/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/21/2013 ✔