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Sample Record for 2020-02-27-15

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

Project Information

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

Sample Information

DIME Sample ID: 2020-02-27-15
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: 02/27/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/27/2020
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Fly Ash
From where was the sample collected: Source
Laboratory sample identification: CM205069
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Rim Materials

Material Information

Brand: Pacific Rim
Mill: Huludao
Type of Cementitious Material: Class F or N Flyash

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.