Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-07-22-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215411
DEA: 060X1904
EFIS: 0618000230
DIST-CO-RTE-PM06-FRE,KIN-5,41,168,180,198-Var
Award Date03/15/2021
Closeout DateNot set
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY, REPLACE JOINT SEALS AND TREAT DECK.
Location DescriptionFRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date07/22/2021 Sample Unique Key35
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 testing07/22/2021
Sample typeQuality Assurance A brief description of the sample1 gallon can
The quantity of what the sample constitutes1 gallon can From where was the sample collectedOther
First name of sampler or witnessed byMyers Last name of sampler or witnessed byMyers
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMyers and Sons Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)19-30-989089
Batch number1930989089 Mix number3531

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-22-35-1CONCLP 4-16: HMWMSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory08/04/2021Spencer Adams
Yes
08/04/2021Accepted tack free time based on suppliers results. PCC Bond Strength not performed due to material being tested for recertification.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-07-22-35-1 CONCLP 4-16 (Verified)