Test 2014-10-31-3-4 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 209263
DEA: 080F6604
EFIS: 0800000146
DIST-CO-RTE-PM08-SBD-247-1.8/9.6
Work DescriptionCONSTRUCT SHOULDERS, COLD PLANE AND HMA OVERLAY
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR YUCCA VALLEY FROM EL CORTEZ ROAD TO HANDLEY ROAD
Sample Information
Sample Taken Date10/31/2014 Sample Unique Key3
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 testing10/31/2014
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes3 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Laboratory sample identification4292B
The fabricator/manufacturer/facility nameHi Grade Materials Lucern Valley Transportation Laboratory (TL) NumberUnknown
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 91-36-0042
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 collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-10-31-3
DIME Test ID: 2014-10-31-3-4
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2014-11-19
Test Results

Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 11/06/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/19/2014