Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-09-10-90
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Project Information
| Project Identifiers | Project ID: 1000225 DEA: 023J3204 EFIS: 0222000034 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-3,36,299-Var |
| Award Date | 06/06/2024 |
| Closeout Date | Not set |
| Work Description | BRIDGE POLYESTER CONCRETE OVERLAY & METHACRYLATE DECK SEAL. |
| Location Description | TRINITY COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/08/2024) |
Sample Information
| Sample Taken Date | 09/10/2024 | Sample Unique Key | 90 |
|---|---|---|---|
| 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 | 09/16/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 1 gallon | From where was the sample collected | Other |
| First name of sampler or witnessed by | Joel | Last name of sampler or witnessed by | Gosik |
| Title of sampler | RE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KBP | Transportation Laboratory (TL) Number | 636958 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 24-30-891990 |
|---|---|---|---|
| Batch number | 2430891990 | Mix number | 3863 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-10-90-1 CONCLP 4-16 (Verified)