Sample Record

DIME Sample ID 2022-06-06-10

Project Information

Project IdentifiersProject ID: 993445
DEA: 101M3504
EFIS: 1020000181
DIST-CO-RTE-PM10-SJ-132-L0.7/5.8
Award Date03/03/2022
Closeout Date05/10/2023
Work DescriptionREPLACE APPROACH SLAB AND PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN JOAQUIN COUNTY NEAR VERNALIS AT VARIOUS LOCATIONS FROM ROUTE 132 EAST/580 SEPARATION TO ROUTE 132/33 SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 12/13/2021)

Owner Lab

  • Sika Corporation

Sample Information

Sample Taken Date06/06/2022 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typePer Request
A brief description of the sampleRapid Setting Mortar The quantity of what the sample constitutes 2 bags
From where was the sample collectedManufacturer First name of sampler or witnessed byThao
Last name of sampler or witnessed byVu Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSika - Santa Fe Springs
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.01 Materials Received06/06/2022
Lot no.3006344957 Batch Number06062201

Submitted Tests

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