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Sample Record for 2023-04-14-3

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-14-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Assurance
Type of Material: Paint
Sample Taken Date: 04/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2023
The quantity of what the sample constitutes: 0
A brief description of the sample: 0
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert

Material Information

Batch No.:
Color:
Batch size:
Date of Manufacturing:
Paint Specification:
Paint Specification Version:

Test Results

Test 1 of 3

DIME Test ID: 2023-04-14-3-1
Test Method: CHEMLP 6-16: Yellow Color
Verified Date: 04/14/2023
Date Tested: 04/14/2023
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Yellow Color no data

Test 2 of 3

DIME Test ID: 2023-04-14-3-2
Test Method: CHEMLP 2-16: Dry Opacity
Verified Date: 04/14/2023
Date Tested: 04/14/2023
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Dry Opacity no data

Test 3 of 3

DIME Test ID: 2023-04-14-3-3
Test Method: CHEMLP 11-16: Accelerated Package Stability
Verified Date: 04/14/2023
Date Tested: 04/13/2023
Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Consistency 0 Krebs
Accelerated Package Stability no data