Sample Record

DIME Sample ID 2022-08-10-4

Project Information

Project IdentifiersProject ID: 993730
DEA: 010K7704
EFIS: 0121000008
DIST-CO-RTE-PM01-MEN-101,162-14.6,15.9,0.7
Award Date06/15/2022
Closeout Date07/21/2023
Work DescriptionRepair 3 Bridges
Location DescriptionMENDOCINO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/19/2022)

Owner Lab

  • Golden State Bridge, Incorporated

Sample Information

Sample Taken Date08/10/2022 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleBonding Material The quantity of what the sample constitutes20 Bags
From where was the sample collectedJob Site First name of sampler or witnessed byEvan
Last name of sampler or witnessed byHuber Title of samplerProject Manager
Telephone number of sampler9254572228 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCTS Cement Manufacturing Corp.
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 ManufacturerCTS Cement Manufacturing Corporation
Mix no.0 Materials Received8-10-22
Lot no.61110121 Batch Number61110121

Submitted Tests

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