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 IdentifiersProject ID: 215487
DEA: 042Q0804
EFIS: 0418000416
DIST-CO-RTE-PM04-SM-1,101,280-17.9/47.03
Award DateNot set
Closeout DateNot set
Work DescriptionTREAT BRIDGE DECKS AND APPROACHES WITH METHACRYLATE..
Location DescriptionNot set
QA Service Level1 (Verified on 04/23/2021)

Sample Information

Sample Taken Date06/21/2021 Sample Unique Key21
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 testing06/25/2021
Sample typeAuthorization A brief description of the sampleRapid Set
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byGST Last name of sampler or witnessed byInternational
Title of samplerSupplier Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGST International Transportation Laboratory (TL) NumberC668879
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier35-0030, 35-0094L, 35-0130, 35-0155
Structure nameVarious Bridges

Material Information

Material TypeRapid Set ManufacturerGST International
Mix no.3523 Materials ReceivedElephant Armor
Lot no.092320 Batch no.092320

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-21-21-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory06/30/2021Spencer Adams
Yes
06/30/2021