Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-03-06-10
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Project Information
| Project Identifiers | Project ID: 211736 DEA: 042A4904 EFIS: 0400000827 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-280-R4.8/R6.2 |
| Award Date | 12/09/2016 |
| Closeout Date | 01/30/2018 |
| Work Description | BRIDGE POLYESTER CONCRETE OVERLAY, DRAINAGE AND BARRIER RECONSTRUCTION |
| Location Description | THE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS FROM 0.5 MILE NORTH OF ROUTE 280/101 SEPARATION TO 0.2 MILE SOUTH OF 20TH STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
| Sample Taken Date | 03/06/2017 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 03/08/2017 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 80 drums and 16 totes | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Nunes |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | reichhold azusa | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 1035530 |
|---|---|---|---|
| Batch number | 1035530 | Mix number | 3228 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-03-06-10-1 CONCLP 3-16 (Verified)