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Sample Record for 2019-09-10-22

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 213319 DEA: 043G6904 EFIS: 0412000153 QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-13.9
Work Description: REMOVE BR DECK BY JETTING WATER, CONSTRUCT DECK AND APPROACH SLABS.
Location Description: SOLANO COUNTY IN FAIRFIELD AT DAN WILSON CREEK BRIDGE
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Quang Tran Structure Rep.: Joe De La Torre

Sample Information

DIME Sample ID: 2019-09-10-22
TL Number from the TL Form: 71651
Sample Submitted By Organization: CT HQ - Sacramento Cement Testing Laboratory
Sample Organization Contact: (916) 227-7071
Type of Sample: Verification
Type of Material: Cementitious
Sample Taken Date: 09/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/12/2019
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: CTS Rapid Set Cement
From where was the sample collected: Job Site
Laboratory sample identification: CM194903
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTS

Material Information

Brand: CTS
Mill: Juarez
Type of Cementitious Material: Rapid Set Cement

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.