Summary for Test 2014-12-15-2-1

Test performed: CTM 213-December 2012

Project Information

Project IdentifiersProject ID: 209186
DEA: 04153304
EFIS: 0400020304
DIST-CO-RTE-PM04-SCL-101-0.0/26.7
Award Date04/02/2014
Closeout Date08/22/2018
Work DescriptionINSTALL TOS, RAMP METERING AND RAMP WIDENING.
Location DescriptionSANTA CLARA COUNTY AT VARIOUS LOCATIONS FROM SAN BENITO COUNTY LINE TO ROUTE 85/101 INTERCHANGE
QA Service Level1 (Verified on 04/11/2014)

Sample Information

Sample Taken Date12/15/2014 Sample Unique Key2
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 testing01/07/2015
Sample typeAnnual Source Testing A brief description of the sampleSand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byWagdy Last name of sampler or witnessed byWassef
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15Fpcc-0030 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Eliot Transportation Laboratory (TL) NumberC385667
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0009
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 Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Test Details

DIME Sample ID: 2014-12-15-2
DIME Test ID: 2014-12-15-2-1
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: 2015-01-29

Test Results


Input Type: Calculated
Tester's full name: Thomas Stinnett
Date of test: 01/07/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/29/2015