Summary for Test 2018-06-01-12-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210794
DEA: 062HT104
EFIS: 0612000287
DIST-CO-RTE-PM06-FRE-99-23.5/26.7
Award Date06/30/2016
Closeout Date09/16/2020
Work Description(Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST).
Location DescriptionState Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing.
QA Service Level1 (Verified on 10/01/2015)

Sample Information

Sample Taken Date06/01/2018 Sample Unique Key12
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 testing06/18/2018
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 bag Sand From where was the sample collectedSource
First name of sampler or witnessed byHeaver Last name of sampler or witnessed byHudson
Title of samplerConsultant Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCalaveras, Sanger Transportation Laboratory (TL) NumberC956334
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0027
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Test Details

DIME Sample ID: 2018-06-01-12
DIME Test ID: 2018-06-01-12-1
Testing Lab: CT HQ - Sacramento Concrete Testing Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2018-07-03

Test Results


Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 07/03/2018
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 7/3/2018