Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-03-05-26
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Project Information
| Project Identifiers | Project ID: 213903 DEA: 043G4544 EFIS: 0412000054 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4 |
| Award Date | 12/31/2019 |
| Closeout Date | Not set |
| Work Description | Repair Spalled Concrete Columns and Spandrel Beams |
| Location Description | San Mateo-Hayward Bridge |
| QA Service Level | 1 (Verified on 01/22/2019) |
Sample Information
| Sample Taken Date | 03/05/2021 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 03/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid Setting Concrete |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Will | Last name of sampler or witnessed by | Reames |
| Title of sampler | Golden State Bridge | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | C902229 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Sika Corporation |
|---|---|---|---|
| Mix no. | 3503 | Materials Received | Sikaquick FNP |
| Lot no. | 3005115173 | Batch no. | 3005115173 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-03-05-26-1 CONCLP 2-16 (Verified)