Summary for Test 2022-03-17-59-8

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/17/2022 Sample Unique Key59
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 testing04/07/2022
Sample typeAggregate Prequalification Program A brief description of the sampleCemex Lytle Creek WCS
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byAlbert Last name of sampler or witnessed bySegura
Title of samplerQuality Control Supervisor Telephone number of sampler9094368680
Laboratory sample identificationCemex Lytle Creek WCS Linked DIME Sample ID2022-03-17-50
The fabricator/manufacturer/facility nameCemex Lytle Creek Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0040
The fabricator's/manufacturer's product name for the sampleCemex Lytle Creek WCS The fabricator/manufacturer designation for the sampleWCS
The plant number4419 A detailed description of where the material sample was collectedProduction stockpile
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2022-03-17-59
DIME Test ID: 2022-03-17-59-8
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: 2022-05-07

Test Results


Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 04/21/2022
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/7/2022