Summary for Test 2013-09-27-7583-3

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 4069
DEA: 07260704
EFIS: 0700000490
DIST-CO-RTE-PM07-VEN,SB-101-R39.8/R43.6,0.0/2.2
Award Date01/03/2012
Closeout Date08/24/2017
Work DescriptionWIDEN RDWY WITH JPCP OVER LCB, WIDEN BR UC, CONST PED UC & RET WALLS.
Location DescriptionVENTURA AND SANTA BARBARA COUNTIES FROM MOBILE PIER UNDER CROSSING TO 0.4 MILE SOUTH OF CASITAS PASS ROAD
QA Service Level1 (Verified on 03/05/2012)

Sample Information

Sample Taken Date09/27/2013 Sample Unique Key7583
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 testing09/27/2013
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes3 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3243B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCemex Moorpark Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sampleWashed Concrete Sand The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedConveyer Belt
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Test Details

DIME Sample ID: 2013-09-27-7583
DIME Test ID: 2013-09-27-7583-3
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: 2015-02-19

Test Results


Input Type: Measured
Tester's full name: Satish Jain
Date of test: 10/01/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/19/2015