Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-01-11-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211616
DEA: 050G0404
EFIS: 0500020020
DIST-CO-RTE-PM05-SLO,MON-101-63.2/R69.3,R0.0/R1.9
Award Date11/16/2016
Closeout Date10/29/2020
Work DescriptionROADWAY REHABILITATION AND BRIDGE CONSTRUCTION.
Location DescriptionSAN 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 Level1 (Verified on 09/15/2016)

Sample Information

Sample Taken Date01/11/2017 Sample Unique Key2
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 testing01/11/2017
Sample typeQuality Assurance A brief description of the samplepolyester resin
The quantity of what the sample constitutes2 tankers From where was the sample collectedManufacturer
First name of sampler or witnessed byChris Last name of sampler or witnessed bynanes
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17-002 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namereichhold azusa Transportation Laboratory (TL) Numberc594915
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypePolyester Mfg. Lot Number(s)1022586
Batch number1022586 Mix number3220

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-01-11-2-1CONCLP 3-16: Polyester ResinMike MullinsCT HQ - Sacramento Concrete Testing Laboratory05/25/2017Mike Mullins
Yes
05/25/2017bond results accepted on Q.C.