Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-09-03-15
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Project Information
| Project Identifiers | Project ID: 215096 DEA: 11428104 EFIS: 1117000028 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-R0.3/R23.0 |
| Award Date | 10/20/2020 |
| Closeout Date | 09/14/2023 |
| Work Description | CULVERT REPAIRS, CONC. INVERT PAVING, MODIFY LANDSCAPE AND ELECTRICAL. |
| Location Description | SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM MORENA BOULEVARD UNDERCROSSING TO 1.1 MILES EAST OF LAKE JENNINGS PARK ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/25/2020) |
Sample Information
| Sample Taken Date | 09/03/2021 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 09/03/2021 |
| Sample type | Authorization | A brief description of the sample | Rapid Set |
| The quantity of what the sample constitutes | 1 Bucket | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Manufacturer | Last name of sampler or witnessed by | Aquafin |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Aquafin Building Product Systems | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Aquafin Building Product Systems |
|---|---|---|---|
| Mix no. | 3555 | Materials Received | Pavemend SL |
| Lot no. | 21510221 | Batch no. | 21510221 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-09-03-15-1 CONCLP 2-16 (Verified)