Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-02-23-15
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215132 DEA: 051M6404 EFIS: 0520000045 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-37/46, 37.0-46.0 |
| Award Date | 06/22/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | Atascadero Slab Replacement - replace JPCP with precast pavement panels (Procast) |
| Location Description | US 101 near Atascadero |
| QA Service Level | 1 (Verified on 08/26/2020) |
Sample Information
| Sample Taken Date | 02/23/2021 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 03/03/2021 |
| 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 | Manufacturer |
| First name of sampler or witnessed by | Jay | Last name of sampler or witnessed by | West |
| Title of sampler | Quality Specialist | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTS Cement | Transportation Laboratory (TL) Number | C013 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | CTS Cement |
|---|---|---|---|
| Mix no. | 3499 | Materials Received | Rapid Set DOT Repair Mix |
| Lot no. | 23102231 | Batch no. | 23102231 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-23-15-1 CONCLP 2-16 (Verified)