Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-07-18-68
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Project Information
| Project Identifiers | Project ID: 993206 DEA: 101N4604 EFIS: 1021000191 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99-20.12, 20.12, 20.12/20.12 |
| Award Date | 05/24/2021 |
| Closeout Date | 11/27/2023 |
| Work Description | Emergency Repair of Fire-damaged Stockton Diverting Canal Bridge |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/08/2021) |
Sample Information
| Sample Taken Date | 07/18/2022 | Sample Unique Key | 68 |
|---|---|---|---|
| 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 | 07/18/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Elephant Armor |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Laureno |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Global Sealer Technologies | Transportation Laboratory (TL) Number | 923841 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Global Sealer Technbologies |
|---|---|---|---|
| Mix no. | 3649 | Materials Received | 7/18/22 |
| Lot no. | 071222 | Batch no. | 071222 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-07-18-68-1 CONCLP 2-16 (Verified)