Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-04-05-39
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Project Information
| Project Identifiers | Project ID: 214977 DEA: 040J5204 EFIS: 0414000009 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-580-R8.0 |
| Award Date | 11/13/2020 |
| Closeout Date | 08/09/2021 |
| Work Description | REPAIR SPALLED SURFACE AREA AND PLACE STRUCTURAL CONCRETE BRIDGE. |
| Location Description | ALAMEDA COUNTY AT LIVERMORE AT GREENVILLE OVERHEAD |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 04/05/2021 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 04/12/2021 |
| Sample type | Authorization | A brief description of the sample | rapid set patching |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Thao | Last name of sampler or witnessed by | Vu |
| Title of sampler | Quality Specialist | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | C026 |
| 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. | 3510 | Materials Received | SikaQuick VOH |
| Lot no. | 3005358437 | Batch no. | 3005358437 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-05-39-1 CONCLP 2-16 (Verified)