Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-05-21-29
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215014 DEA: 101C9404 EFIS: 1016000020 |
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DIST-CO-RTE-PM | 10-SJ-5-26.4/27.0 |
Award Date | 11/03/2020 |
Closeout Date | 03/03/2022 |
Work Description | BRIDGE REHABILITATION |
Location Description | ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE |
QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
Sample Taken Date | 05/21/2021 | Sample Unique Key | 29 |
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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 | 05/21/2021 |
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 | Manufacturer |
First name of sampler or witnessed by | Thao | Last name of sampler or witnessed by | Vu |
Title of sampler | QC Specialist | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | C063 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | Sika Corporation |
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Mix no. | 3522 | Materials Received | Sikaquick 2500 |
Lot no. | 3005496399 | Batch no. | 05192109 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-05-21-29-1 CONCLP 2-16 (Verified)