Summary for Test 2021-01-28-26-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award Date08/08/2019
Closeout Date02/16/2024
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date01/28/2021 Sample Unique Key26
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 testing03/04/2021
Sample typeAnnual Source Testing A brief description of the sample1 bag Fine
The quantity of what the sample constitutes1 bag fine From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byRottos
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification21-PCCF-0036 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock Transportation Laboratory (TL) NumberC044322
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0004::CANYON ROCK CO., INC.
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedForrestville, CA
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2021-01-28-26
DIME Test ID: 2021-01-28-26-1
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: 2021-03-24

Test Results


Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 03/08/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 3/24/2021