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: 2021-08-12-1
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: 08/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/12/2021
The quantity of what the sample constitutes: 6 control cubes
A brief description of the sample: Fly ash control cubes
From where was the sample collected: Other
Laboratory sample identification: CM219104
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nevada Cement
DIME Test ID: 2021-08-12-1-2
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] 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: 2021-08-12-1-3
Test Method: ASTM C109-16a: Standard Test Method for Compressive Strength of Hydraulic Cement Mortars (Using 2-in. or [50-mm] 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.
