Summary for Test 2020-03-11-20-4

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/11/2020 Sample Unique Key20
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 testing03/11/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerTechnical Services Supervisor Telephone number of sampler(909) 436-8680
Laboratory sample identification Linked DIME Sample ID2020-03-11-18
The fabricator/manufacturer/facility nameLytle Creek Transportation Laboratory (TL) Number
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)91-36-0040::LYTLE CREEK
The fabricator's/manufacturer's product name for the sampleWASH CONCRETE SAND The fabricator/manufacturer designation for the sampleUnknown
The plant number4419 A detailed description of where the material sample was collectedStockpile at the Plant
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Test Details

DIME Sample ID: 2020-03-11-20
DIME Test ID: 2020-03-11-20-4
Testing Lab: CEMEX - Central & Southern California
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2020-06-19

Test Results


Input Type: Calculated
Tester's full name: Marc Segura
Date of test: 04/02/2020
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/19/2020