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 Identifiers | Project ID: 213903 DEA: 043G4544 EFIS: 0412000054 |
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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 | 02/09/2021 | Sample Unique Key | 40 |
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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 | 02/10/2021 |
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 | Will | Last name of sampler or witnessed by | Reames |
Title of sampler | VP | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | GST International | Transportation Laboratory (TL) Number | C902227 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | GST International |
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Mix no. | 3497 | Materials Received | Elephant Armor |
Lot no. | 011421 | Batch no. | 011421 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-02-09-40-1 CONCLP 2-16 (Verified)