DIME - Test Summary

Summary for Test 2022-10-31-64-8

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 66666 DEA: APP EFIS: 0019000052
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	10/31/2022	Sample Unique Key	64
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 testing	12/08/2022
Sample type	Aggregate Prequalification Program	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	60lbs of Washed Concrete Sand	From where was the sample collected	Source
First name of sampler or witnessed by	Nicholas	Last name of sampler or witnessed by	Qualin
Title of sampler	Field Supervisor	Telephone number of sampler	858-864-3718
Laboratory sample identification		Linked DIME Sample ID	2022-10-31-9
The fabricator/manufacturer/facility name	Martin Marietta - Santee	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	EXEMPT
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	Shipping face of Washed Concrete Sand at Santee location
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

DIME Sample ID: 2022-10-31-64

DIME Test ID: 2022-10-31-64-8

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: 2023-01-10

Input Type: Calculated

Tester's full name: Satish Jain

Date of test: 12/22/2022

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/10/2023 ✔