Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-11-18-20
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215589 DEA: 112N0084 EFIS: 1117000153 |
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DIST-CO-RTE-PM | 11-IMP-7,8,78,86,98,111-Var |
Award Date | 06/25/2021 |
Closeout Date | 09/14/2023 |
Work Description | METHACRYLATE BRIDGE DECKS, REPAIR SPALLS AND REPLACE JOINT SEALS. |
Location Description | IMPERIAL COUNTY AT VARIOUS LOCATIONS. |
QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
Sample Taken Date | 11/18/2021 | Sample Unique Key | 20 |
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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 | 11/18/2021 |
Sample type | Authorization | A brief description of the sample | HMWM |
The quantity of what the sample constitutes | 1 Quart | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Rob | Last name of sampler or witnessed by | Johnson |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Transpo Industries Inc | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Methacrylate | Mfg. Lot Number(s) | B1104217010 |
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Batch number | B1104217010 | Mix number | 3584 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-11-18-20-1 CONCLP 4-16 (Verified)