Summary for Test 2022-05-25-100-19

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 Date05/25/2022 Sample Unique Key100
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 testing06/13/2022
Sample typeAggregate Prequalification Program A brief description of the sampleEagle Mtn Mine Tailings - Sample No. 22
The quantity of what the sample constitutes4 full 5-gallon buckets From where was the sample collectedSource
First name of sampler or witnessed byJay Last name of sampler or witnessed byHorton
Title of samplerCaltrans Translab AMTB TET Telephone number of sampler(916) 227-1218
Laboratory sample identification7883 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEagle Mtn Mine Tailings 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)Eagle Mtn Mine Tailings
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 collectedSlope of Mine Tailings
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Test Details

DIME Sample ID: 2022-05-25-100
DIME Test ID: 2022-05-25-100-19
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: 2022-11-09

Test Results


Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 11/04/2022
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/9/2022