Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-02-09-40

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213903
DEA: 043G4544
EFIS: 0412000054
DIST-CO-RTE-PM04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4
Award Date12/31/2019
Closeout DateNot set
Work DescriptionRepair Spalled Concrete Columns and Spandrel Beams
Location DescriptionSan Mateo-Hayward Bridge
QA Service Level1 (Verified on 01/22/2019)

Sample Information

Sample Taken Date02/09/2021 Sample Unique Key40
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 testing02/10/2021
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 byWill Last name of sampler or witnessed byReames
Title of samplerVP Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGST International Transportation Laboratory (TL) NumberC902227
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerGST International
Mix no.3497 Materials ReceivedElephant Armor
Lot no.011421 Batch no.011421

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-09-40-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory04/20/2021Spencer Adams
Yes
04/20/2021