Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2020-08-25-3
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: Informational
Type of Material: Aggregate
Sample Taken Date: 08/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2020
The quantity of what the sample constitutes: na
A brief description of the sample: Limestone Research 1567 sample
From where was the sample collected: Other
Laboratory sample identification: CM206001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Limestone Research 1567 sample
Source Identification (SMARA, name of Pit or Job Site): na
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: na
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:
Aggregate Mix Number:
