Sample Record

DIME Sample ID 2023-08-25-58

Project Information

Project IdentifiersProject ID: 994537
DEA: 010L1604
EFIS: 0121000077
DIST-CO-RTE-PM01-MEN-1,101-Var
Award Date06/07/2023
Closeout Date06/18/2025
Work DescriptionPOLYESTER CONCRETE OVERLAY, RAPID SETTING CONCRETE (PATCH), HMA.
Location DescriptionMENDOCINO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/25/2023)

Owner Lab

  • T.P.A Construction Incorporated

Sample Information

Sample Taken Date08/25/2023 Sample Unique Key58
Date that the sample was received by the laboratory/organization performing the testing08/25/2023 Sample typePreliminary
A brief description of the sampleCTS Rapid Set Cement The quantity of what the sample constitutes1 BAGS
From where was the sample collectedSupplier First name of sampler or witnessed byPavel
Last name of sampler or witnessed byTyukayev Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID2023-08-25-57 The fabricator/manufacturer/facility nameCTS Cement Manufacturing Corp.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form225082523D
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeRapid Set ManufacturerCTS Cement Manufacturing Corporation
Mix no.0 Materials ReceivedYES
Lot no.225082523D Batch Number225082523D

Submitted Tests

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