Summary for Test 2019-07-08-10-8
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 213690 DEA: 07312804 EFIS: 0715000069 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-14-R35.0/R53.5 |
| Award Date | 01/11/2019 |
| Closeout Date | 09/23/2021 |
| Work Description | CONSTRUCT STORM WATER TREATMENT BMP AND DRAINAGE SYSTEM |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.7 MILE SOUTH OF SOLEDAD CANYON ROAD UNDERCROSSING TO 0.3 MILE SOUTH OF MOUNTAIN SPRINGS ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 07/26/2019) |
Sample Information
| Sample Taken Date | 07/08/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 07/08/2019 |
| 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 | Stefan | Last name of sampler or witnessed by | Reder |
| Title of sampler | QC Manager | Telephone number of sampler | 760-552-2393 |
| Laboratory sample identification | 8638 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi-Grade Littlerock | Transportation Laboratory (TL) Number | 8638 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 91-19-0026::LITTLE ROCK QUARRY |
|---|---|---|---|
| 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 | At the 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: 2019-07-08-10
DIME Test ID: 2019-07-08-10-8
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: 2019-07-25
Test Results
Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 07/23/2019
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/25/2019 ✔