Summary for Test 2016-11-16-14-1
Test performed: CTM 213-December 2012Project Information
Project Identifiers | Project ID: 210866 DEA: 042G8504 EFIS: 0412000008 |
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DIST-CO-RTE-PM | 04-ALA-580-R4.0 |
Award Date | 01/11/2016 |
Closeout Date | 12/21/2017 |
Work Description | CONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR |
Location Description | CONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR |
QA Service Level | 1 (Verified on 10/27/2015) |
Sample Information
Sample Taken Date | 11/16/2016 | Sample Unique Key | 14 |
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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 | 03/24/2017 |
Sample type | Annual Source Testing | A brief description of the sample | Fine Aggregate |
The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Singh |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 17CPCC-0150 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | C968784 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-39-0021::VERNALIS |
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The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile @ Plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
The concrete mix design number | Unknown | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
DIME Sample ID: 2016-11-16-14
DIME Test ID: 2016-11-16-14-1
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: 2017-06-22
Test Results
Input Type: Calculated
Tester's full name: Phillip Montes
Date of test: 06/22/2017
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/22/2017 ✔