Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-07-22-35
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Project Information
| Project Identifiers | Project ID: 215411 DEA: 060X1904 EFIS: 0618000230 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE,KIN-5,41,168,180,198-Var |
| Award Date | 03/15/2021 |
| Closeout Date | 10/04/2022 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY, REPLACE JOINT SEALS AND TREAT DECK. |
| Location Description | FRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 07/22/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 07/22/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 1 gallon can | From where was the sample collected | Other |
| First name of sampler or witnessed by | Myers | Last name of sampler or witnessed by | Myers |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Myers and Sons | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 19-30-989089 |
|---|---|---|---|
| Batch number | 1930989089 | Mix number | 3531 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-07-22-35-1 CONCLP 4-16 (Verified)