Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-01-11-2
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Project Information
| Project Identifiers | Project ID: 211616 DEA: 050G0404 EFIS: 0500020020 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO,MON-101-63.2/R69.3,R0.0/R1.9 |
| Award Date | 11/16/2016 |
| Closeout Date | 10/29/2020 |
| Work Description | ROADWAY REHABILITATION AND BRIDGE CONSTRUCTION. |
| Location Description | SAN LUIS OBISPO AND MONTERY COUNTIES NEAR PASO ROBLES FROM 0.5 MILE SOUTH OF SAN MARCOS CREEK BRIDGE TO 0.2 MILE SOUTH OF BRADLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/15/2016) |
Sample Information
| Sample Taken Date | 01/11/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/11/2017 |
| Sample type | Quality Assurance | A brief description of the sample | polyester resin |
| The quantity of what the sample constitutes | 2 tankers | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | nanes |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17-002 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | reichhold azusa | Transportation Laboratory (TL) Number | c594915 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 1022586 |
|---|---|---|---|
| Batch number | 1022586 | Mix number | 3220 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-01-11-2-1 CONCLP 3-16 (Verified)