Summary for Test 2013-09-13-8003448-3
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 3770 DEA: 07117074 EFIS: 0700000083 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-50.2/53.4 |
| Award Date | 04/30/2009 |
| Closeout Date | 03/16/2016 |
| Work Description | Construct HOV Lanes, Retaining Walls And Sound Walls |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/27/2012) |
Sample Information
| Sample Taken Date | 09/13/2013 | Sample Unique Key | 8003448 |
|---|---|---|---|
| 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 | 09/13/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 5 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | 3238B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Robertsons Rialto | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA No. 91-36-0146 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Washed Concrete Sand | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2013-09-13-8003448
DIME Test ID: 2013-09-13-8003448-3
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: 2014-11-19
Test Results
Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 09/17/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/19/2014 ✔