Summary for Test 2021-04-22-29-8

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 215108
DEA: 07337604
EFIS: 0717000036
DIST-CO-RTE-PM07-LA-14-R28.9/R29.2
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE EXISTING STORM DRAIN, AND CONSTRUCT A COLLECTION SYSTEM.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.8 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date04/22/2021 Sample Unique Key29
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 testing04/28/2021
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerQC Representative Telephone number of sampler(909) 350-1846
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Redlands Transportation Laboratory (TL) Number3908
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)91-36-0068::REDLANDS WASH PLAN (CEMEX)
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID

Test Details

DIME Sample ID: 2021-04-22-29
DIME Test ID: 2021-04-22-29-8
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2021-05-19

Test Results


Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 05/13/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/19/2021