Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 8801 DEA: AML-CEM EFIS: AML-CEM
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Cementitious Materials for use in Concrete Authorized Material List (AML)
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-07-29-38
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Verification
Type of Material: Concrete Admixture
Sample Taken Date: 07/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2025
The quantity of what the sample constitutes: 1 plastic bottle
A brief description of the sample: Concrete Admixture
From where was the sample collected: Manufacturer
Laboratory sample identification: MasterLife ASR 30
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Master Builders
DIME Test ID: 2025-07-29-38-1
Test Method: CTM 416-December 2012: Method of test for concrete Admixture by FTIR
Submitted By Organization: WJE
Organization Address: 330 Pfingsten Road,
Organization City: Northbrook
Organization State: IL
Organization Zipcode: 60062
Organization Email: TWerner@wje.com
Organization Phone: 847-272-7400
Data has not been verified.
