Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-04-08-26
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Project Information
| Project Identifiers | Project ID: 215014 DEA: 101C9404 EFIS: 1016000020 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-26.4/27.0 |
| Award Date | 11/03/2020 |
| Closeout Date | 03/03/2022 |
| Work Description | BRIDGE REHABILITATION |
| Location Description | ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE |
| QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
| Sample Taken Date | 04/08/2021 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 04/12/2021 |
| 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 | C028 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Rapid Set | Manufacturer | Sika Corporation |
|---|---|---|---|
| Mix no. | 3512 | Materials Received | Sikaquick 2500 |
| Lot no. | 3005397446 | Batch no. | 04072101W |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-08-26-1 CONCLP 2-16 (Verified)