DIME - Test Summary

Summary for Test 2023-12-13-43-3

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 215003 DEA: 040J6204 EFIS: 0414000019
DIST-CO-RTE-PM	04-ALA-680-12.4/21.9
Award Date	04/12/2022
Closeout Date	Not set
Work Description	REHABILITATE PAVEMENT - RPL APP/DEP SLABS, 14 BRIDGES
Location Description	ALAMEDA COUNTY AT SUNOL AND IN PLEASANTON AND DUBLIN FROM KOOPMANN ROAD UNDERCROSSING TO ALAMEDA COUNTY LINE
QA Service Level	1 (Verified on 10/19/2020)

Sample Taken Date	12/13/2023	Sample Unique Key	43
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	12/14/2023
Sample type	Annual Source Testing	A brief description of the sample	Sand Fine Aggregate
The quantity of what the sample constitutes	Ample	From where was the sample collected	Source
First name of sampler or witnessed by	Curtis	Last name of sampler or witnessed by	Gilbert
Title of sampler	Plant QC	Telephone number of sampler
Laboratory sample identification	HW-121323-STVP	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vulcan-Pleasanton	Transportation Laboratory (TL) Number	C666441
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)	91-01-0010::CALMAT/PLEASANTON
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

DIME Sample ID: 2023-12-13-43

DIME Test ID: 2023-12-13-43-3

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

Input Type: Measured

Tester's full name: Ryan Kester

Date of test: 03/14/2024

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 ✔