Summary for Test 2018-12-12-8-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 213249 DEA: 043K6704 EFIS: 0417000192 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-505-R0.0/R10.6 |
| Award Date | 05/17/2018 |
| Closeout Date | 06/06/2019 |
| Work Description | COLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G (BWC). |
| Location Description | SOLANO COUNTY IN VACAVILLE FROM 505/80 SEPARATION TO YOLO COUNTY LINE |
| QA Service Level | 1 (Verified on 04/02/2018) |
Sample Information
| Sample Taken Date | 12/12/2018 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 bag | 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 | 19-0006 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Woodland | Transportation Laboratory (TL) Number | C859588 |
| 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) | 91-57-0002::WOODLAND PLANT |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Teichert Woodland plant stockpile | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Teichert Woodland | A detailed description of where the material sample was collected | stockpile |
| 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
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DIME Sample ID: 2018-12-12-8
DIME Test ID: 2018-12-12-8-1
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 ✔