Summary for Test 2019-11-26-28-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 213631 DEA: 04270104 EFIS: 0412000131 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-580-R30.8/R41.5 |
| Award Date | 01/07/2019 |
| Closeout Date | 01/13/2023 |
| Work Description | REPLACE SLABS, RESURFACE SHOULDER & RAMPS & CONSTRUCT MBGR & BARRIER |
| Location Description | ALAMEDA COUNTY FROM ROUTE 580/ROUTE 238 SEPARATION TO BOSTON AVENUE UNDERCROSSING. |
| QA Service Level | 1 (Verified on 04/23/2019) |
Sample Information
| Sample Taken Date | 11/26/2019 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 03/06/2020 |
| Sample type | Annual Source Testing | A brief description of the sample | PCC Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Desilva Gates | Last name of sampler or witnessed by | Staff |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 20-PCCF-0015 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | De Silva Gates Sunol | Transportation Laboratory (TL) Number | C726640 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-01-0007::SUNOL |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2019-11-26-28
DIME Test ID: 2019-11-26-28-1
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: 2020-03-12
Test Results
Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 03/12/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/12/2020 ✔