Test 2014-12-15-1-1 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 209186
DEA: 04153304
EFIS: 0400020304
DIST-CO-RTE-PM04-SCL-101-0.0/26.7
Work DescriptionINSTALL TOS, RAMP METERING AND RAMP WIDENING.
Location DescriptionSANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM SAN BENITO COUNTY LINE TO ROUTE 85/101 INTERCHANGE
Sample Information
Sample Taken Date12/15/2014 Sample Unique Key1
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 testing1/7/2015
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byWagdy Last name of sampler or witnessed byWassef
Title of samplerUnknown Laboratory sample identification15Fpcc-0024
The fabricator/manufacturer/facility namecemex orca Transportation Laboratory (TL) NumberC810918
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)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleCemex Pleasanton
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 Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-12-15-1
DIME Test ID: 2014-12-15-1-1
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: 2015-01-29
Test Results

Input Type: Calculated
Tester's full name: Thomas Stinnett
Date of test: 01/07/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/29/2015