Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-03-06-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211736
DEA: 042A4904
EFIS: 0400000827
DIST-CO-RTE-PM04-SF-280-R4.8/R6.2
Award DateNot set
Closeout Date01/30/2018
Work DescriptionBRIDGE POLYESTER CONCRETE OVERLAY, DRAINAGE AND BARRIER RECONSTRUCTION
Location DescriptionTHE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS FROM 0.5 MILE NORTH OF ROUTE 280/101 SEPARATION TO 0.2 MILE SOUTH OF 20TH STREET OVERCROSSING
QA Service Level1 (Verified on 01/31/2017)

Sample Information

Sample Taken Date03/06/2017 Sample Unique Key10
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 testing03/08/2017
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes80 drums and 16 totes From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byNunes
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namereichhold azusa Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypePolyester Mfg. Lot Number(s)1035530
Batch number1035530 Mix number3228

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-03-06-10-1CONCLP 3-16: Polyester ResinMike MullinsCT HQ - Sacramento Concrete Testing Laboratory03/21/2017Mike Mullins
Yes
05/25/2017