Summary for Test 2014-01-24-10010899-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 2358
DEA: 044A3304
EFIS: 0400001126
DIST-CO-RTE-PM04-SCL-101-48.7/52.0
Award Date11/17/2011
Closeout Date01/20/2016
Work DescriptionCONSTRUCT AUXILIARY LANES ,EXTEND EXIST. HOV LANES IN BOTH DIRECTION.
Location DescriptionSANTA CLARA COUNTY IN MOUNTAIN VIEW AND PALO ALTO FROM 0.1 MILE NORTH OF SHORELINE BOULEVARD OVERCROSSING TO OREGON EXPRESSWAY OVERCROSSING
QA Service Level1 (Verified on 03/09/2012)

Sample Information

Sample Taken Date01/24/2014 Sample Unique Key10010899
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 testing01/06/2014
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byB Last name of sampler or witnessed byRanahawe
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCemex/Eliot 91-01-0009 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)14FPCC-0004 C713885
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2014-01-24-10010899
DIME Test ID: 2014-01-24-10010899-1
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: 2014-01-24

Test Results


Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 01/24/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/24/2014