Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-04-05-12
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Project Information
| Project Identifiers | Project ID: 212956 DEA: 080R3404 EFIS: 0812000072 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-38-30.9 |
| Award Date | 03/06/2018 |
| Closeout Date | 09/30/2019 |
| Work Description | BRIDGE REHABILITATION AND UPGRADE BRIDGE RAILING TO STANDARDS |
| Location Description | SAN BERNARDINO COUNTY NEAR ANGELUS OAKS AT SANTA ANA RIVER BRIDGERAM |
| QA Service Level | 1 (Verified on 05/09/2018) |
Sample Information
| Sample Taken Date | 04/05/2019 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 04/05/2019 |
| Sample type | Quality Assurance | A brief description of the sample | HMWM |
| The quantity of what the sample constitutes | 1qt. | From where was the sample collected | Source |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Klover |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Supplier | Transportation Laboratory (TL) Number | Vendor submitted |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 087-110 |
|---|---|---|---|
| Batch number | 3367 | Mix number | 3367 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-05-12-1 CONCLP 4-16 (Verified)