Test 2020-05-27-24-3 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
Sample Information
Sample Taken Date5/27/2020 Sample Unique Key24
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 testing5/27/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand WCS
The quantity of what the sample constitutes150 lbs From where was the sample collectedSource
First name of sampler or witnessed byVance Last name of sampler or witnessed bySellers
Title of samplerQuality Control Laboratory sample identification
The fabricator/manufacturer/facility nameVulcan Materials Company - Palmdale Transportation Laboratory (TL) Number
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)91-19-0020
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 @ Plant
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: 2020-05-27-24
DIME Test ID: 2020-05-27-24-3
Testing Lab: Vulcan Materials Company - Irwindale
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2020-07-01
Test Results

Input Type: Calculated
Tester's full name: Mauricio Lizzaraga
Date of test: 05/27/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 07/01/2020