Summary for Test 2014-02-18-10305061-3

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 209071
DEA: 07272404
EFIS: 0700000506
DIST-CO-RTE-PM07-LA-5-14.9/16.8
Award Date12/04/2013
Closeout Date08/02/2018
Work DescriptionREPLACE PLANTING AND IRRIGATION SYSTEM
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INDIANA STREET UNDERCROSSING TO BOYLE AVENUE OVERCROSSING
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date02/18/2014 Sample Unique Key10305061
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 testing02/19/2014
Sample typeAnnual Source Testing A brief description of the sampleWCS
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification4074B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCemex Azusa Quarry 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 or name of Pit)SMARA No. 91-19-0007
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 Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Test Details

DIME Sample ID: 2014-02-18-10305061
DIME Test ID: 2014-02-18-10305061-3
Testing Lab: CT 08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2014-04-07

Test Results


Input Type: Calculated
Tester's full name: Nader Rashidi
Date of test: 02/26/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/7/2014