Test 2014-12-03-1-2 (CTM 213-December 2012) Summary

Project Information
Project IdentifiersProject ID: 7566
DEA: 042640K4
EFIS: 0412000406
COOP: 0412458
DIST-CO-RTE-PM04---
Work DescriptionNot set
Location DescriptionNot set
Sample Information
Sample Taken Date12/3/2014 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 testing1/20/2015
Sample typeAnnual Source Testing A brief description of the sampleFine PCC Aggregate
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byPlant Last name of sampler or witnessed byPlant
Title of samplerQC Laboratory sample identificationAG150045 9735-50C
The fabricator/manufacturer/facility nameBodean Mark West Quarry Transportation Laboratory (TL) NumberC917319
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)91-49-0032
The fabricator's/manufacturer's product name for the sampleFine PCC Agg The fabricator/manufacturer designation for the sampleFine PCC Agg
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: 2014-12-03-1
DIME Test ID: 2014-12-03-1-2
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: 2015-02-06
Test Results

Input Type: Calculated
Tester's full name: Ed Perez
Date of test: 01/28/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/06/2015