Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-03-11-14
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Project Information
| Project Identifiers | Project ID: 215254 DEA: 031G5104 EFIS: 0318000313 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT,COL,GLE,SUT,YOL-5,32,70,80,162-VAR |
| Award Date | 12/16/2020 |
| Closeout Date | 09/27/2021 |
| Work Description | REMOVE & PLACE POLYESTER CONC OVERLAY, PLACE JOINT SEAL & HMA. |
| Location Description | BUTTE, COLUSA, GLENN, SUTTER, AND YOLO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 11/11/2020) |
Sample Information
| Sample Taken Date | 03/11/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 04/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid Setting Concrete |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Thao | Last name of sampler or witnessed by | Vu |
| Title of sampler | QC Specialist | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | C027 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Sika Corporation |
|---|---|---|---|
| Mix no. | 3511 | Materials Received | Sikaquick 2500 |
| Lot no. | 3005332931 | Batch no. | 03102101W |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-03-11-14-1 CONCLP 2-16 (Verified)