Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-30-41
Project Information
Project Identifiers | Project ID: 215591 DEA: 112N0724 EFIS: 1119000164 |
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DIST-CO-RTE-PM | 11-IMP-111-R0.1/R1.2 |
Award Date | 05/27/2021 |
Closeout Date | 07/27/2023 |
Work Description | COLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA. |
Location Description | IMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98. |
QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
Sample Taken Date | 09/30/2022 | Sample Unique Key | 41 |
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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 | 08/11/2022 |
Sample type | Quality Assurance | A brief description of the sample | CTS Concrete Mix |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | S | Last name of sampler or witnessed by | Adams |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | CTS |
---|---|---|---|
Mix no. | 3659 | Materials Received | 8-11-22 |
Lot no. | 23106072 | Batch no. | 23106072 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-30-41-1 CONCLP 2-16 (Verified)