Summary for Test 2014-01-09-10473383-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7914 DEA: 042A4404 EFIS: 0400000823 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-152-16.2/R16.5R18.5/R19.5 |
| Award Date | 03/22/2013 |
| Closeout Date | 04/14/2021 |
| Work Description | PLACE WIDEN HMA RDWY, CONST SOIL NAIL WALLS, RWS; LEFT TURN LANE. |
| Location Description | SANTA CLARA COUNTY NEAR GILROY FROM OLD LAKE ROAD TO 0.3 MILE EAST OF OLD LAKE ROAD AND FROM 0.4 MILE WEST TO 0.6 MILE EAST OF LOVERS LANE |
| QA Service Level | 1 (Verified on 12/10/2012) |
Sample Information
| Sample Taken Date | 01/09/2014 | Sample Unique Key | 10473383 |
|---|---|---|---|
| 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 | 01/06/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | Not set |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Vernon | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | Engr. | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Triangle Rock / Los Banos | 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) | 91-24-0009 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | 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: 2014-01-09-10473383
DIME Test ID: 2014-01-09-10473383-1
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: 2014-01-10
Test Results
Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 01/09/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/10/2014 ✔