Summary for Test 2021-05-19-49-9
Test performed: CTM 213-December 2012Project Information
Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
---|---|
DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 05/19/2021 | Sample Unique Key | 49 |
---|---|---|---|
Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/13/2021 |
Sample type | Aggregate Prequalification Program | A brief description of the sample | WCS |
The quantity of what the sample constitutes | 12 Bags | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Milum |
Title of sampler | Lab Manager | Telephone number of sampler | 9099821553 x2359 |
Laboratory sample identification | 1668-CR | Linked DIME Sample ID | 2021-05-19-44 |
The fabricator/manufacturer/facility name | Holliday Rock Co Inc | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-15-0080::MOJAVE QUARRY |
---|---|---|---|
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 collected | Stockpile | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
Test Details
DIME Sample ID: 2021-05-19-49
DIME Test ID: 2021-05-19-49-9
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2021-11-09
Test Results
Input Type: Calculated
Tester's full name: Friday Ofoegbu
Date of test: 10/26/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/9/2021 ✔