Summary for Test 2015-07-17-5-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 209676
DEA: 023E7904
EFIS: 0200020151
Award Date09/24/2014
Closeout Date11/29/2017
Work DescriptionCollins Bar Sidehill Viaduct
Location DescriptionTrinity County
QA Service Level1 (Verified on 06/20/2014)

Sample Information

Sample Taken Date07/17/2015 Sample Unique Key5
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 testing08/03/2015
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byBrace
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15FPCC-0337 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameEureka Ready mix Transportation Laboratory (TL) NumberC899641B
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)NA
The fabricator's/manufacturer's product name for the sampleUnknown 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 Aggregate Mix NumberNot set

Test Details

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