Summary for Test 2021-11-24-35-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
| Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 11/24/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 12/16/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | Fine Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nick | Last name of sampler or witnessed by | Hall |
| Title of sampler | Plant QC | Telephone number of sampler | |
| Laboratory sample identification | 21-PCCF-0214 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Healdsburg, CA | Transportation Laboratory (TL) Number | C100425 |
| 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) | 91-49-0030 |
|---|---|---|---|
| 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 | Stock Pile | |
| 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
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2021-11-24-35
DIME Test ID: 2021-11-24-35-1
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: 2022-01-03
Test Results
Input Type: Measured
Tester's full name: Jay Horton
Date of test: 12/20/2021
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/3/2022 ✔