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 IdentifiersProject ID: 215014
DEA: 101C9404
EFIS: 1016000020
DIST-CO-RTE-PM10-SJ-5-26.4/27.0
Award Date11/03/2020
Closeout DateNot set
Work DescriptionBRIDGE REHABILITATION
Location DescriptionON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date05/21/2021 Sample Unique Key29
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 testing05/21/2021
Sample typeAuthorization A brief description of the samplerapid set patching
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byThao Last name of sampler or witnessed byVu
Title of samplerQC Specialist Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika Corporation Transportation Laboratory (TL) NumberC063
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.3522 Materials ReceivedSikaquick 2500
Lot no.3005496399 Batch no.05192109

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-21-29-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory06/25/2021Spencer Adams
Yes
06/25/2021Initial Time of Set: 20 min / Final Time of Set: 28 min