DIME - Test Summary

Summary for Test 2020-05-01-3-1

Test performed: CTM 213-December 2012

Project Identifiers	Project ID: 66667 DEA: JMFPP EFIS: 0019000043
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for JMF Prequalification Program.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	05/01/2020	Sample Unique Key	3
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	05/01/2020
Sample type	Aggregate Prequalification Program	A brief description of the sample	testing system
The quantity of what the sample constitutes	testing system	From where was the sample collected	Source
First name of sampler or witnessed by	testing system	Last name of sampler or witnessed by	testing system
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	testing system	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	testing system
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	testing system
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Sample ID: 2020-05-01-3

DIME Test ID: 2020-05-01-3-1

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: 2020-05-01

Input Type: Calculated

Tester's full name: Patrick Lo

Date of test: 05/01/2020

Is the sample satisfactory or not?: Yes

Does debris exist: No

General comments (publicly viewable) (Max 1000 characters): Testing System.

Test was verified on 5/1/2020 ✔