Sample Record
Owner Lab
- T.P.A Construction Incorporated
DIME Sample ID 2023-08-25-57
Project Information
| Project Identifiers | Project ID: 993662 DEA: 061A6404 EFIS: 0620000176 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41,180-R23.1,R58.7 |
| Award Date | 05/20/2022 |
| Closeout Date | 04/24/2024 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY AND REPLACE JOINT SEAL ASSEMBLY. |
| Location Description | FRESNO COUNTY IN FRESNO ON ROUTE 41 AT VENTURA AVENUE VIADUCT AND ON ROUTE 180 AT ROUTE 180/41 CONNECTOR SEPARATION |
| QA Service Level | 1 (Verified on 04/04/2022) |
Sample Information
| Sample Taken Date | 08/25/2023 | Sample Unique Key | 57 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/25/2023 |
| Sample type | Informational | A brief description of the sample | CTS Rapid Set Cement |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Pavel | Last name of sampler or witnessed by | Tyukayev |
| Title of sampler | President | Telephone number of sampler | 9169191624 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTS Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Rapid Set | Manufacturer | CTS Cement Manufacturing Corporation |
|---|---|---|---|
| Mix no. | 225082523D | Materials Received | Yes |
| Lot no. | 225082523D | Batch no. | 225082523D |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
