Sample Record

Owner Lab

  • CT SC - 3672 - Richmond

DIME Sample ID 2025-09-08-6

Project Information

Project IdentifiersProject ID: 1000514
DEA: 043Y5904
EFIS: 0423000264
DIST-CO-RTE-PM04-CC-680,680-1.47/24.26
Award Date05/23/2025
Closeout DateNot set
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY, GRIND BRIDGE DECK, AND PAVE SLOPE.
Location DescriptionCONTRA COSTA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/13/2024)

Sample Information

Sample Taken Date09/08/2025 Sample Unique Key6
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 testing09/08/2025
Sample typeAcceptance A brief description of the sampleMETHACRYLATE
The quantity of what the sample constitutes3500 sqft From where was the sample collectedSupplier
First name of sampler or witnessed byTrieu Last name of sampler or witnessed byNguyen
Title of samplerASR Telephone number of sampler4088876630
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameACC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier28-0315S
Structure nameOakland boulevard overcrossing Bid ItemNot set

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)25-50-351450
Batch number351450 Mix numberKPB204

Submitted Tests

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