Summary for Test 2014-10-23-16-3
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 208869 DEA: 08368504 EFIS: 0800000628 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-177.3/181.1 |
| Award Date | 10/14/2013 |
| Closeout Date | 07/27/2023 |
| Work Description | CONSTRUCT COMMERCIAL VEHICLE ENFORCEMENT FACILITY (CVEF) |
| Location Description | SAN BERNARDINO COUNTY FROM 1.2 MILES NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/08/2013) |
Sample Information
| Sample Taken Date | 10/23/2014 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 10/24/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 buckets | From where was the sample collected | Other |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 4289B | Linked DIME Sample ID | 0 |
| The fabricator/manufacturer/facility name | Cal Portland Aggregate Industries NV | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| 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 | Cal Portland Aggregate Industries |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2014-10-23-16
DIME Test ID: 2014-10-23-16-3
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: 2015-02-20
Test Results
Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 10/31/2014
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/20/2015 ✔