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Sample Record for 2018-11-07-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-11-07-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Acceptance
Type of Material: Cementitious
Sample Taken Date: 11/07/2018
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2018
The quantity of what the sample constitutes: 23
A brief description of the sample: Hello
From where was the sample collected: Source
Laboratory sample identification: 123
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Redlands

Material Information

Brand: xyw
Mill: Mill
Type of Cementitious Material: Blended Cement
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-11-07-3-1
Test Method: ASTM C109-11: Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50mm] Cube Specimens)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 2 of 2

DIME Test ID: 2018-11-07-3-2
Test Method: ASTM C109-11: Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50mm] Cube Specimens)
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.