Summary for Test 2018-12-06-17-1
Test performed: CTM 213-December 2012Project Information
Project Identifiers | Project ID: 213360 DEA: 044A1104 EFIS: 0412000497 |
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DIST-CO-RTE-PM | 04--- |
Award Date | 06/20/2018 |
Closeout Date | 09/12/2019 |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 09/02/2019) |
Sample Information
Sample Taken Date | 12/06/2018 | Sample Unique Key | 17 |
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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 | 01/29/2019 |
Sample type | Annual Source Testing | A brief description of the sample | Concrete Sand |
The quantity of what the sample constitutes | 1 bags | From where was the sample collected | Source |
First name of sampler or witnessed by | plant | Last name of sampler or witnessed by | plant |
Title of sampler | QC lab tech | Telephone number of sampler | |
Laboratory sample identification | 19-0012 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | CEMEX CACHE CREEK | Transportation Laboratory (TL) Number | C859585 |
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) | 91-57-0008 |
---|---|---|---|
The fabricator's/manufacturer's product name for the sample | CEMEX CACHE CREEK | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Cemex Cache Creek | A detailed description of where the material sample was collected | plant |
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 | 0 |
Sublot number | 0 | Aggregate Mix Number | Not set |
Test Details
DIME Sample ID: 2018-12-06-17
DIME Test ID: 2018-12-06-17-1
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: 2019-03-01
Test Results
Input Type: Calculated
Tester's full name: Bang Nguyen
Date of test: 03/01/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/1/2019 ✔