Summary for Test 2018-01-11-14-1
Test performed: CTM 213-December 2012Project Information
Project Identifiers | Project ID: 211538 DEA: 043G59U4 EFIS: 0415000066 |
---|---|
DIST-CO-RTE-PM | 04-ALA-205-0.0/1.004-Ala-580-0.0/8.0,26.1/30.310-SJ-580-13.5/15.4 |
Award Date | 10/24/2016 |
Closeout Date | 12/17/2019 |
Work Description | HMA PAVING, REPLACE APPROACH AND PCC SLABS, PRECAST CONCRETE PAVEMENT. |
Location Description | ALAMEDA AND SAN JOAQUIN COUNTIES ON ROUTE 580 FROM PATTERSON PASS ROAD OVERCROSSING TO GREENVILLE ROAD OVERHEAD AND FROM EDEN CANYON ROAD UNDERCROSSING TO STROBRIDGE AVENUE UNDERCROSSING ON ROUTE 205 FROM SAN JOAQUIN COUNTY LINE TO MIDWAY ROAD UNDERCROSSI |
QA Service Level | 1 (Verified on 09/02/2016) |
Sample Information
Sample Taken Date | 01/11/2018 | Sample Unique Key | 14 |
---|---|---|---|
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 | 03/27/2018 |
Sample type | Annual Source Testing | A brief description of the sample | Fine PCC Aggregate |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Rob | Last name of sampler or witnessed by | Lohman |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 18-0035 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | C925306 |
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 |
---|---|---|---|
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 |
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 |
HMA Pay | No |
Test Details
DIME Sample ID: 2018-01-11-14
DIME Test ID: 2018-01-11-14-1
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: 2018-04-12
Test Results
Input Type: Measured
Tester's full name: Phillip Montes
Date of test: 04/05/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/5/2018 ✔