Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2024-05-29-80
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Project Information
| Project Identifiers | Project ID: 994767 DEA: 043Q5304 EFIS: 0419000221 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4,242,680-VAR |
| Award Date | 06/27/2023 |
| Closeout Date | 01/09/2025 |
| Work Description | POLYESTER CONCRETE OVERLAY, GRIND BRIDGE DECK, & REPLACE JOINT SEALS. |
| Location Description | CONTRA COSTA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 05/29/2024 | Sample Unique Key | 80 |
|---|---|---|---|
| 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 | 05/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | polyester relative density |
| The quantity of what the sample constitutes | 67 SYD | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nick | Last name of sampler or witnessed by | Hall |
| Title of sampler | Lab Technician | Telephone number of sampler | 7072999133 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Meyers and sons | 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 | Polyester | Mfg. Lot Number(s) | 1 |
|---|---|---|---|
| Batch number | 1 | Mix number | 1 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-29-80-1 CTM 552-December 2013 (Verified)