Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2020-05-14-39

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214687
DEA: 031G4904
EFIS: 0318000241
DIST-CO-RTE-PM03-ED,PLA,SAC,YOL-49,50,80-Var
Award Date04/02/2020
Closeout Date03/16/2021
Work DescriptionREPLACE JOINT SEALS AND PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionEL DORADO, PLACER, SACRAMENTO, AND YOLO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date05/14/2020 Sample Unique Key39
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 testing05/18/2020
Sample typeQuality Assurance A brief description of the samplesikaquick 2500
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed bythao Last name of sampler or witnessed byvu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika Corporation Transportation Laboratory (TL) NumberC0001
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set Manufacturersika
Mix no.3442 Materials Received5/18/2020
Lot no.3004676916 Batch no.05132001W-05132020W

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-14-39-1CONCLP 2-16: Rapid Set Patching MaterialsLarry McCrumCT HQ - Sacramento Concrete Testing Laboratory05/29/2020Larry McCrum
Yes
05/29/2020