Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-06-21-21
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215487 DEA: 042Q0804 EFIS: 0418000416 |
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DIST-CO-RTE-PM | 04-SM-1,101,280-17.9/47.03 |
Award Date | 03/29/2021 |
Closeout Date | 05/24/2022 |
Work Description | TREAT BRIDGE DECKS AND APPROACHES WITH METHACRYLATE.. |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/23/2021) |
Sample Information
Sample Taken Date | 06/21/2021 | Sample Unique Key | 21 |
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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 | 06/25/2021 |
Sample type | Authorization | A brief description of the sample | Rapid Set |
The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | GST | Last name of sampler or witnessed by | International |
Title of sampler | Supplier | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | GST International | Transportation Laboratory (TL) Number | C668879 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 35-0030, 35-0094L, 35-0130, 35-0155 | |
Structure name | Various Bridges |
Material Information
Material Type | Rapid Set | Manufacturer | GST International |
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Mix no. | 3523 | Materials Received | Elephant Armor |
Lot no. | 092320 | Batch no. | 092320 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-06-21-21-1 CONCLP 2-16 (Verified)