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Sample Record for 2021-01-11-14

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

Project Information

Project ID: 214977 DEA: 040J5204 EFIS: 0414000009 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-580-R8.0
Work Description: REPAIR SPALLED SURFACE AREA AND PLACE STRUCTURAL CONCRETE BRIDGE.
Location Description: ALAMEDA COUNTY AT LIVERMORE AT GREENVILLE OVERHEAD
Contractor Name: TRUESDELL CORP OF CALIFORNIA INC
Contractor Address: 1310 W 23RD STREET, TEMPE AZ 85282
Resident Engineer: Eddie Dike Structure Rep.: Parecadan, John

Sample Information

DIME Sample ID: 2021-01-11-14
TL Number from the TL Form: C
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Per Request
Type of Material: Concrete Core
Sample Taken Date: 01/11/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/18/2021
The quantity of what the sample constitutes: 1-2x2 cube
A brief description of the sample: Sikacrete 211SCC plus cube
From where was the sample collected: Supplier
Laboratory sample identification: 21-0024
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: sika - Milpitas

Material Information

Detail description: process pass 350 screen
Structure names: na
Type of material: patch material

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.