Summary for Test 2015-07-17-5-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 209676 DEA: 023E7904 EFIS: 0200020151 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-12.3/12.9 |
| Award Date | 09/24/2014 |
| Closeout Date | 11/29/2017 |
| Work Description | Collins Bar Sidehill Viaduct |
| Location Description | Trinity County |
| QA Service Level | 1 (Verified on 06/20/2014) |
Sample Information
| Sample Taken Date | 07/17/2015 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 testing | 08/03/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Brace |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15FPCC-0337 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Eureka Ready mix | Transportation Laboratory (TL) Number | C899641B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | NA |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2015-07-17-5
DIME Test ID: 2015-07-17-5-1
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: 2015-08-17
Test Results
Input Type: Calculated
Tester's full name: Thomas Stinnett
Date of test: 08/05/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/17/2015 ✔