Sample Record
DIME Sample ID 2021-02-09-42
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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) |
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
Sample Information
| Sample Taken Date | 02/09/2021 | Sample Unique Key | 42 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/09/2021 | 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 | Ron |
| Last name of sampler or witnessed by | Matin | Title of sampler | SR |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | CTS Cement | |
| Transportation Laboratory (TL) Number | 0001 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | Entire Bridge Deck/Ramp | |
| Bid Item | Not set |
Material Information
| Material Type | Rapid Set | Manufacturer | CTS Cement |
|---|---|---|---|
| Mix no. | 3494 | Materials Received | Rapid Set DOT Repair Mix |
| Lot no. | 61106300 | Batch Number | 61106300 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-09-42-1 CONCLP 2-16 (Verified)