DIME - Test Summary

Summary for Test 2014-03-06-840-1

Test performed: CTM 213-December 2012

Sample Taken Date	03/06/2014	Sample Unique Key	840
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	02/07/2014
Sample type	Annual Source Testing	A brief description of the sample	Sand
The quantity of what the sample constitutes	1Bag	From where was the sample collected	Source
First name of sampler or witnessed by	Richard	Last name of sampler or witnessed by	Duncan
Title of sampler	Not set	Telephone number of sampler	Not set
Laboratory sample identification	14FPCC-0058 C920670	Linked DIME Sample ID	Not set
The fabricator/manufacturer/facility name	Mark West Quarry	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-49-0032
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

DIME Sample ID: 2014-03-06-840

DIME Test ID: 2014-03-06-840-1

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: 2014-03-06

Input Type: Measured

Tester's full name: Thomas Stinnett

Date of test: 03/06/2014

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 3/6/2014 ✔