DIME - Sample Record for DIME Sample ID 2021-02-09-42

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DIME » All Projects » Project - DEA: 101C9404 » Sample 2021-02-09-42 » Sample Details

Sample Record

Owner Lab

CT HQ - Sacramento Concrete Testing Laboratory

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)

Sample Information

Sample Taken Date	02/09/2021	Sample Unique Key	42
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	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 no.	61106300

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2021-02-09-42-1	CONCLP 2-16: Rapid Set Patching Materials	Spencer Adams, CT HQ - Sacramento Concrete Testing Laboratory	02/25/2021		Yes	05/19/2021		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-02-09-42-1 CONCLP 2-16 (Verified)