Sample Record

Owner Lab

  • Sika Corporation

DIME Sample ID 2024-08-01-29

Project Information

Project IdentifiersProject ID: 995063
DEA: 112N1084
EFIS: 1121000057
DIST-CO-RTE-PM11-SD-5-6.1,R22.9
Award Date12/05/2023
Closeout Date09/17/2024
Work DescriptionSPALL REPAIRS, PLACE JOINT SEALS, & PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN DIEGO COUNTY ON ROUTE 5 IN CHULA VISTA AT PALOMAR STREET OVERCROSSING AND IN SAN DIEGO AT DE ANZA OFF-RAMP UNDERCROSSING
QA Service Level1 (Verified on 02/12/2024)

Sample Information

Sample Taken Date08/01/2024 Sample Unique Key29
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing08/01/2024
Sample typePer Request A brief description of the sampleRapid Setting Mortar
The quantity of what the sample constitutes6000 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byThao Last name of sampler or witnessed byVu
Title of sampler Telephone number of sampler5623320278
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika - Riverside Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika
Mix no.Mix 1 through 52 Materials ReceivedSika quick 2500
Lot no.3008904647 Batch no.3008904647

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments