Sample Record
Owner Lab
- CEMEX - Central & Southern California
DIME Sample ID 2020-03-11-21
Project Information
Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 03/11/2020 | Sample Unique Key | 21 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/11/2020 |
Sample type | Aggregate Prequalification Program | A brief description of the sample | 1" x #4 Concrete Aggregate |
The quantity of what the sample constitutes | 12 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Marc | Last name of sampler or witnessed by | Segura |
Title of sampler | Technical Services Supervisor | Telephone number of sampler | (909) 436-8680 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex Redlands | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0068::REDLANDS WASH PLAN (CEMEX) |
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The fabricator's/manufacturer's product name for the sample | 1x4 concrete aggregate | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | 4420 | A detailed description of where the material sample was collected | Plant Stockpile |
Where the material sample would have been placed if not sampled | Ready Mix Concrete | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |