Summary for Test 2024-01-11-50-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 994164 DEA: 042J9504 EFIS: 0415000043 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-9,17,85,87,101,etc-VAR |
| Award Date | 12/16/2022 |
| Closeout Date | Not set |
| Work Description | MODIFYING RAMP METERING SYSTEMS AND PLACE HMA (TYPE A). |
| Location Description | SANTA CLARA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/08/2022) |
Sample Information
| Sample Taken Date | 01/11/2024 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 01/26/2024 |
| Sample type | Annual Source Testing | A brief description of the sample | WCS |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Charles | Last name of sampler or witnessed by | Poolis |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 24-0012 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Rock A.R. Wilson Quarry | Transportation Laboratory (TL) Number | C317-011124-4 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-35-0012 |
|---|---|---|---|
| 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 | Stockpile | |
| 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 |
Test Details
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DIME Sample ID: 2024-01-11-50
DIME Test ID: 2024-01-11-50-1
Testing Lab: CT HQ - Sacramento Aggregate Testing Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2024-03-22
Test Results
Input Type: Measured
Tester's full name: Bang Nguyen
Date of test: 02/07/2024
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/22/2024 ✔