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Sample Record for 2020-03-12-30

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

Project Information

Project ID: 66666 DEA: APP EFIS: 0019000052 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-03-12-30
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 03/12/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/12/2020
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification: 9542
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Moorpark

Material Information

Source Identification (SMARA or name of Pit): 91-56-0014
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2020-03-12-30-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates07/23/2020Not scheduledRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory
2020-03-12-30-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand07/23/2020Not scheduledRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory
2020-03-12-30-3CTM 217-June 2011: Method of Test for Sand Equivalent07/23/2020Not scheduledRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory
2020-03-12-30-4CTM 229-June 2011: Method of Test for Durability Index07/23/2020Not scheduledRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory