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

Sample Record for 2020-05-05-23

Project Information

Project ID: 88888 DEA: STOCK EFIS: STOCK QA Service Level:
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-05-23
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: 05/05/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2020
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Bridger Fly Ash
From where was the sample collected: Source
Laboratory sample identification: CM205016
Structure unique identifier:
Structure name:

Material Information

Brand: Boral
Mill: Bridger WY
Type of Cementitious Material: Class F or N Flyash