Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-01-11-14

Project Information

Project IdentifiersProject ID: 214977
DEA: 040J5204
EFIS: 0414000009
DIST-CO-RTE-PM04-ALA-580-R8.0
Award Date11/13/2020
Closeout Date08/09/2021
Work DescriptionREPAIR SPALLED SURFACE AREA AND PLACE STRUCTURAL CONCRETE BRIDGE.
Location DescriptionALAMEDA COUNTY AT LIVERMORE AT GREENVILLE OVERHEAD
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date01/11/2021 Sample Unique Key14
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 testing02/18/2021
Sample typePer Request A brief description of the sampleSikacrete 211SCC plus cube
The quantity of what the sample constitutes1-2x2 cube From where was the sample collectedSupplier
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of sampler Telephone number of sampler
Laboratory sample identification21-0024 Linked DIME Sample ID
The fabricator/manufacturer/facility namesika - Milpitas Transportation Laboratory (TL) NumberC
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete Core Detail descriptionprocess pass 350 screen
Structure namesna Type of materialpatch material

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments