Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-04-02-18
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Project Information
| Project Identifiers | Project ID: 214671 DEA: 07303904 EFIS: 0714000044 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-31.2/37.2 |
| Award Date | 11/25/2020 |
| Closeout Date | 10/11/2023 |
| Work Description | LANE REPLACEMENT |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/21/2021) |
Sample Information
| Sample Taken Date | 04/02/2021 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 04/16/2021 |
| 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 | C029 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | CTS Cement Manufacturing Corporation |
|---|---|---|---|
| Mix no. | 3513 | Materials Received | Rapid Set DOT Repair Mix |
| Lot no. | 23104091 | Batch no. | 23104091 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-02-18-1 CONCLP 2-16 (Verified)