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Sample Record for 2022-07-25-6

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Project Information

Project ID: 215349 DEA: 081C0824 EFIS: 0816000087 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R104.9/R134.2
Work Description: PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location Description: RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEMPE, AZ. 85284
Resident Engineer: Khoi Vu Structure Rep.: Shukri Abouazra

Sample Information

DIME Sample ID: 2022-07-25-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: Cementitious
Sample Taken Date: 07/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2022
The quantity of what the sample constitutes: ii & v Cement
A brief description of the sample: II & V Cement
From where was the sample collected: Source
Laboratory sample identification: CM222201
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mitsubishi Cement

Material Information

Brand: Mitsubishi
Mill: 2117772
Type of Cementitious Material: Type II/V Cement
Test results on following page(s): 0

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2022-07-25-6-1ASTM C187-16: Standard Test Method for Amount of Water Required for Normal Consistency of Hydraulic Cement Paste (Water Normal Consistency)10/07/2022Not scheduledBenjamin LenzCT HQ - Sacramento Cement Testing Laboratory
2022-07-25-6-2ASTM C204-11: Standard Test Methods for Fineness of Hydraulic Cement by Air-Permeability Apparatus10/07/2022Not scheduledBenjamin LenzCT HQ - Sacramento Cement Testing Laboratory