Summary for Test 2019-12-06-22-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date12/06/2019 Sample Unique Key22
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 testing02/14/2020
Sample typeAnnual Source Testing A brief description of the samplePCC Sand
The quantity of what the sample constitutes3 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byRohos
Title of sampler Telephone number of sampler
Laboratory sample identification20-PCCF-0034 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanyon Rock - Forestville Transportation Laboratory (TL) NumberC870045
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-49-0004::CANYON ROCK CO., INC.
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2019-12-06-22
DIME Test ID: 2019-12-06-22-1
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: 2020-04-17

Test Results


Input Type: Measured
Tester's full name: Ryan Kester
Date of test: 04/17/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 4/17/2020