Test 2019-12-05-20-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 214059
DEA: 042K7504
EFIS: 0417000019
DIST-CO-RTE-PM04-SCL-152-7.6/M10.2
Work DescriptionROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES.
Location DescriptionSANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101
Sample Information
Sample Taken Date12/5/2019 Sample Unique Key20
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 testing2/14/2020
Sample typeAnnual Source Testing A brief description of the samplePCC Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byArt Last name of sampler or witnessed byFlores
Title of sampler Laboratory sample identification20-PCCF-0028
The fabricator/manufacturer/facility nameVulcan - Triangle Rock Los Banos Transportation Laboratory (TL) NumberC934603
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)91-24-0009::LOS BANOS
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
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: 2019-12-05-20
DIME Test ID: 2019-12-05-20-1
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: 2020-04-07
Test Results

Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 04/03/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/07/2020