Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2019-02-19-1
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: Control Sample
Type of Material: Cementitious
Sample Taken Date: 02/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/19/2019
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Control for Fly Ash
From where was the sample collected: Source
Laboratory sample identification: CM199001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nevada Cement
DIME Test ID: 2019-02-19-1-1
Test Method: ASTM C109-11: Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50mm] Cube Specimens)
Submitted By Organization: CT HQ - Sacramento 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
Data has not been verified.
DIME Test ID: 2019-02-19-1-2
Test Method: ASTM C109-11: Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50mm] Cube Specimens)
Submitted By Organization: CT HQ - Sacramento 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
Data has not been verified.
