Summary for Test 2016-11-16-14-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210866
DEA: 042G8504
EFIS: 0412000008
DIST-CO-RTE-PM04-ALA-580-R4.0
Award Date01/11/2016
Closeout Date12/21/2017
Work DescriptionCONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR
Location DescriptionCONSTRUCT A 600 FOOT SOLDIER PILE AND LAGGING WALL WITH GROUND ANCHOR
QA Service Level1 (Verified on 10/27/2015)

Sample Information

Sample Taken Date11/16/2016 Sample Unique Key14
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 testing03/24/2017
Sample typeAnnual Source Testing A brief description of the sampleFine Aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byB Last name of sampler or witnessed bySingh
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17CPCC-0150 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Vernalis Transportation Laboratory (TL) NumberC968784
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-39-0021::VERNALIS
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID

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