Sample Record
Owner Lab
- Golden State Bridge, Incorporated
DIME Sample ID 2022-08-10-4
Project Information
| Project Identifiers | Project ID: 993730 DEA: 010K7704 EFIS: 0121000008 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101,162-14.6,15.9,0.7 |
| Award Date | 06/15/2022 |
| Closeout Date | 07/21/2023 |
| Work Description | Repair 3 Bridges |
| Location Description | MENDOCINO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 08/10/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Control | A brief description of the sample | Bonding Material |
| The quantity of what the sample constitutes | 20 Bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Evan | Last name of sampler or witnessed by | Huber |
| Title of sampler | Project Manager | Telephone number of sampler | 9254572228 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTS Cement Manufacturing Corp. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Rapid Set | Manufacturer | CTS Cement Manufacturing Corporation |
|---|---|---|---|
| Mix no. | 0 | Materials Received | 8-10-22 |
| Lot no. | 61110121 | Batch no. | 61110121 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
