Summary for Test 2021-05-24-31-3

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/24/2021 Sample Unique Key31
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 testing05/25/2021
Sample typeAggregate Prequalification Program A brief description of the sampleState Spec. Sand
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedSupplier
First name of sampler or witnessed byKevin Last name of sampler or witnessed byOwen
Title of samplerQuality Control Supervisor Telephone number of sampler209-481-2952
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Materials Vernalis Transportation Laboratory (TL) Number
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)91-39-0041::VERNALIS WEST & EAST PROPERTIES
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 collectedPlant Stockpile
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: 2021-05-24-31
DIME Test ID: 2021-05-24-31-3
Testing Lab: Teichert Materials - Sacramento
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2021-06-10

Test Results


Input Type: Calculated
Tester's full name: Eric Gifford
Date of test: 05/26/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/10/2021