Summary for Test 2020-02-12-30-3
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 214221 DEA: 081F1424 EFIS: 0815000232 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-23.9/33.4 |
| Award Date | 09/05/2019 |
| Closeout Date | 03/01/2022 |
| Work Description | REPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/04/2019) |
Sample Information
| Sample Taken Date | 02/12/2020 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 02/13/2020 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 4 BAGS | From where was the sample collected | Source |
| First name of sampler or witnessed by | MILAD | Last name of sampler or witnessed by | WARDE |
| Title of sampler | Telephone number of sampler | 951-232-7608 | |
| Laboratory sample identification | 9371 | Linked DIME Sample ID | 2020-02-12-30 |
| The fabricator/manufacturer/facility name | PACIFIC AGGREGATE LAKE ELSINOR | Transportation Laboratory (TL) Number | |
| 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) | 91-33-0073: PACIFIC AGGREGATE |
|---|---|---|---|
| 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 @ Plant |
| 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: 2020-02-12-30
DIME Test ID: 2020-02-12-30-3
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2020-03-16
Test Results
Input Type: Calculated
Tester's full name: SATISH JAIM
Date of test: 02/24/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/16/2020 ✔