Sample Record

Owner Lab

  • CT HQ - Sacramento Cement Testing Laboratory

DIME Sample ID 2019-09-10-22

Project Information

Project IdentifiersProject ID: 213319
DEA: 043G6904
EFIS: 0412000153
DIST-CO-RTE-PM04-SOL-80-13.9
Award Date01/11/2019
Closeout Date04/26/2023
Work DescriptionREMOVE BR DECK BY JETTING WATER, CONSTRUCT DECK AND APPROACH SLABS.
Location DescriptionSOLANO COUNTY IN FAIRFIELD AT DAN WILSON CREEK BRIDGE
QA Service Level1 (Verified on 08/19/2019)

Sample Information

Sample Taken Date09/10/2019 Sample Unique Key22
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 testing09/12/2019
Sample typeVerification A brief description of the sampleCTS Rapid Set Cement
The quantity of what the sample constitutes1 Bucket From where was the sample collectedJob Site
First name of sampler or witnessed byRob Last name of sampler or witnessed byRamos
Title of sampler Telephone number of sampler
Laboratory sample identificationCM194903 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCTS Transportation Laboratory (TL) Number71651
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeCementitious BrandCTS
MillJuarez Type of Cementitious MaterialRapid Set Cement

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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