Summary for Test 2019-01-28-1-8
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 01/28/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/28/2019 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Test APP |
| The quantity of what the sample constitutes | Test APP | From where was the sample collected | Source |
| First name of sampler or witnessed by | Test APP | Last name of sampler or witnessed by | Test APP |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Test APP | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Test APP |
|---|---|---|---|
| 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 | Test APP |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2019-01-28-1
DIME Test ID: 2019-01-28-1-8
Testing Lab: CT HQ - APP Testing Lab
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2019-02-04
Test Results
Input Type: Calculated
Tester's full name: PATRICK LO
Date of test: 01/28/2019
Is the sample satisfactory or not?: No
Does debris exist: Yes
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/28/2019 ✔