Summary for Test 2015-12-09-8-1
Test performed: CTM 213-December 2012Project Information
Project Identifiers | Project ID: 210066 DEA: 04259404 EFIS: 0400000723 |
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DIST-CO-RTE-PM | 04-NAP-29-25.5/28.4 |
Award Date | 03/17/2015 |
Closeout Date | 12/14/2017 |
Work Description | OVERLAY, ROADWAY WIDENING AND CONSTRUCT TWO-WAY LEFT-TURN LANES. |
Location Description | NAPA COUNTY IN AND NEAR ST. HELENA FROM MEE LANE TO 0.1 MILE SOUTH OF SULPHUR CREEK BRIDGE |
QA Service Level | 1 (Verified on 08/21/2015) |
Sample Information
Sample Taken Date | 12/09/2015 | Sample Unique Key | 8 |
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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 | 01/20/2016 |
Sample type | Annual Source Testing | A brief description of the sample | Fine PCC Aggregate |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Plant Employee |
Title of sampler | QC | Telephone number of sampler | Unknown |
Laboratory sample identification | 16CPCC-0025 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Cemex Madison | Transportation Laboratory (TL) Number | C872951 |
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) | 91-57-0008 |
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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
DIME Sample ID: 2015-12-09-8
DIME Test ID: 2015-12-09-8-1
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: 2016-02-25
Test Results
Input Type: Calculated
Tester's full name: Tom Stinnett
Date of test: 01/26/2016
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/25/2016 ✔