Summary for Test 2015-03-18-5-1
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 7571 DEA: 06471004 EFIS: 0600000463 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R8.2 |
| Award Date | 12/31/1969 |
| Closeout Date | 04/23/2018 |
| Work Description | RECONSTRUCT INTERCHANGE |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.6 MILE SOUTH OF AVENUE 12 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 10/29/2012) |
Sample Information
| Sample Taken Date | 03/18/2015 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/09/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Sherrill |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15FPCC-0191 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Vulcan Sanger | Transportation Laboratory (TL) Number | C812932E |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | NA |
|---|---|---|---|
| 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 | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| 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: 2015-03-18-5
DIME Test ID: 2015-03-18-5-1
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: 2015-04-15
Test Results
Input Type: Calculated
Tester's full name: Thomas Stinnett
Date of test: 04/09/2015
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/15/2015 ✔