Summary for Test 2019-03-25-21-8
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 213738 DEA: 07303504 EFIS: 0714000007 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-23-0.0/R3.3 |
| Award Date | 01/09/2019 |
| Closeout Date | 11/02/2020 |
| Work Description | COLD PLANE & OVERLAY ASPHALT CONCRETE PAVEMENT AND UPGRADE CURB RAMPS. |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS FROM CARLISLE ROAD TO ROUTE 101 |
| QA Service Level | 1 (Verified on 11/02/2020) |
Sample Information
| Sample Taken Date | 03/25/2019 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 04/03/2019 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Harrison | Last name of sampler or witnessed by | Kain |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | 2019-03-25-20 | |
| The fabricator/manufacturer/facility name | Cemex Moorpark | 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) | 91-56-0014::MOORPARK |
|---|---|---|---|
| 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 | Stockpile @ 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 | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2019-03-25-21
DIME Test ID: 2019-03-25-21-8
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2019-04-30
Test Results
Input Type: Calculated
Tester's full name: Satish jain
Date of test: 04/09/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/23/2019 ✔