Summary for Test 2013-10-14-13302422-3
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 208862 DEA: 080K7104 EFIS: 0800000366 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15,215-14.0/R16.4,16.0/17.8 |
| Award Date | 11/13/2012 |
| Closeout Date | 02/13/2017 |
| Work Description | I-15/I-215 Interchange Improvements (Devore) |
| Location Description | On I-15 from 0.8 mile south of Glen Helen Parkway UC to 1.4 mile north of Kenwood Ave UC And On I-215 from 1.2 mile south of Devore Road OC to the I-15 junction |
| QA Service Level | 1 (Verified on 06/10/2013) |
Sample Information
| Sample Taken Date | 10/14/2013 | Sample Unique Key | 13302422 |
|---|---|---|---|
| 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 | 10/11/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 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 | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Holliday Upland | 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 91-36-0003 |
|---|---|---|---|
| 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: 2013-10-14-13302422
DIME Test ID: 2013-10-14-13302422-3
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: 2015-02-20
Test Results
Input Type: Measured
Tester's full name: Satish Jain
Date of test: 10/14/2013
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/20/2015 ✔