Summary for Test 2014-04-14-8056594-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 7571
DEA: 06471004
EFIS: 0600000463
DIST-CO-RTE-PM06-MAD-99-R6.9/R8.2
Award Date12/31/1969
Closeout Date04/23/2018
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.6 MILE SOUTH OF AVENUE 12 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date04/14/2014 Sample Unique Key8056594
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/25/2014
Sample typePer Request A brief description of the sampleSand
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byOscar Last name of sampler or witnessed bySherill
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification14FPCC-0136 C812734C Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameJaxon Baker 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)NA
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 collectedLe Grand Asphalt
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: 2014-04-14-8056594
DIME Test ID: 2014-04-14-8056594-1
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: 2014-04-14

Test Results


Input Type: Measured
Tester's full name: Thomas Stinnett
Date of test: 04/14/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/14/2014