Sample Record

Owner Lab

  • CEMEX - Central & Southern California

DIME Sample ID 2020-03-11-21

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/11/2020 Sample Unique Key21
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 testing03/11/2020
Sample typeAggregate Prequalification Program A brief description of the sample1" x #4 Concrete Aggregate
The quantity of what the sample constitutes12 Bags From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerTechnical Services Supervisor Telephone number of sampler(909) 436-8680
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Redlands Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-36-0068::REDLANDS WASH PLAN (CEMEX)
The fabricator's/manufacturer's product name for the sample1x4 concrete aggregate The fabricator/manufacturer designation for the sampleUnknown
The plant number4420 A detailed description of where the material sample was collectedPlant Stockpile
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments