Sample Record

DIME Sample ID 2023-08-25-57

Project Information

Project IdentifiersProject ID: 993662
DEA: 061A6404
EFIS: 0620000176
DIST-CO-RTE-PM06-FRE-41,180-R23.1,R58.7
Award Date05/20/2022
Closeout Date04/24/2024
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY AND REPLACE JOINT SEAL ASSEMBLY.
Location DescriptionFRESNO COUNTY IN FRESNO ON ROUTE 41 AT VENTURA AVENUE VIADUCT AND ON ROUTE 180 AT ROUTE 180/41 CONNECTOR SEPARATION
QA Service Level1 (Verified on 04/04/2022)

Owner Lab

  • T.P.A Construction Incorporated

Sample Information

Sample Taken Date08/25/2023 Sample Unique Key57
Date that the sample was received by the laboratory/organization performing the testing08/25/2023 Sample typeInformational
A brief description of the sampleCTS Rapid Set Cement The quantity of what the sample constitutes1 bag
From where was the sample collectedSupplier First name of sampler or witnessed byPavel
Last name of sampler or witnessed byTyukayev Title of samplerPresident
Telephone number of sampler9169191624 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCTS Inc
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.225082523D Materials ReceivedYes
Lot no.225082523D Batch Number225082523D

Submitted Tests

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