Summary for Test 2014-12-17-2-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 7531
DEA: 042908C4
EFIS: 0400021248
COOP: 042397A3
DIST-CO-RTE-PM04-ALA-580-R8.4/R14.6
Award Date11/20/2012
Closeout Date09/30/2016
Work DescriptionROADWAY WIDENING AND REHABILITATION.
Location DescriptionALAMEDA COUNTY IN LIVERMORE FROM 0.1 MILE WEST OF GREENVILLE ROAD UNDERCROSSING TO 0.5 MILE WEST OF 84/580 SEPARATION
QA Service Level1 (Verified on 09/24/2012)

Sample Information

Sample Taken Date12/17/2014 Sample Unique Key2
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 testing02/06/2015
Sample typeAnnual Source Testing A brief description of the samplePCC Fine Aggregate
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byAl Last name of sampler or witnessed byZehier
Title of samplerQC Technician Telephone number of samplerUnknown
Laboratory sample identification15-0071 1931-37C Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) NumberC738999
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)91-39-0021
The fabricator's/manufacturer's product name for the samplePCC Fine Agg 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 Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Test Details

DIME Sample ID: 2014-12-17-2
DIME Test ID: 2014-12-17-2-1
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: 2015-02-13

Test Results


Input Type: Calculated
Tester's full name: Ed Perez
Date of test: 02/10/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/13/2015