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: 2025-09-01-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Cement Testing Laboratory
Sample Organization Contact: (916) 227-7071
Type of Sample: Annual Source Testing
Type of Material: Cementitious
Sample Taken Date: 09/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2025
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Slag Cement
From where was the sample collected: Source
Laboratory sample identification: CM255573
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland Tangshan Slag Cement Grade 120
DIME Test ID: 2025-09-01-7-1
Test Method: ASTM C114-23-24: Slag Cement Chemical Analysis: ASTM C114 (17.2) & ASTM C989
Verified Date: 02/27/2026
Date Tested: 11/25/2025
Submitted By Organization: CT HQ - Sacramento Cement Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: ben.lenz@dot.ca.gov
Organization Phone: (916) 227-7071
General Comments for this Test: Performed out of house
Test Result Compliance:
Additional Comments When Verified:
