Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-07-22-36
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215411 DEA: 060X1904 EFIS: 0618000230 |
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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 | 36 |
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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 | 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) | 20-40-390489 |
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Batch number | 2040390489 | Mix number | 3532 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-07-22-36-1 CONCLP 4-16 (Verified)