Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-03-11-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215254
DEA: 031G5104
EFIS: 0318000313
DIST-CO-RTE-PM03-BUT,COL,GLE,SUT,YOL-5,32,70,80,162-VAR
Award Date12/16/2020
Closeout Date09/27/2021
Work DescriptionREMOVE & PLACE POLYESTER CONC OVERLAY, PLACE JOINT SEAL & HMA.
Location DescriptionBUTTE, COLUSA, GLENN, SUTTER, AND YOLO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 11/11/2020)

Sample Information

Sample Taken Date03/11/2021 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 testing04/08/2021
Sample typeQuality Assurance A brief description of the sampleRapid Setting Concrete
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byThao Last name of sampler or witnessed byVu
Title of samplerQC Specialist Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika Corporation Transportation Laboratory (TL) NumberC027
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.3511 Materials ReceivedSikaquick 2500
Lot no.3005332931 Batch no.03102101W

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-11-14-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory04/20/2021Spencer Adams
Yes
04/20/2021