Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-11-18-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215589
DEA: 112N0084
EFIS: 1117000153
DIST-CO-RTE-PM11-IMP-7,8,78,86,98,111-Var
Award Date06/25/2021
Closeout Date09/14/2023
Work DescriptionMETHACRYLATE BRIDGE DECKS, REPAIR SPALLS AND REPLACE JOINT SEALS.
Location DescriptionIMPERIAL COUNTY AT VARIOUS LOCATIONS.
QA Service Level1 (Verified on 07/06/2021)

Sample Information

Sample Taken Date11/18/2021 Sample Unique Key19
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 testing11/18/2021
Sample typeAuthorization A brief description of the sampleHMWM
The quantity of what the sample constitutes1 Quart From where was the sample collectedManufacturer
First name of sampler or witnessed byRob Last name of sampler or witnessed byJohnson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTranspo Industries Inc 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)B1029217010
Batch numberB1029217010 Mix number3582

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-18-19-1CONCLP 4-16: HMWMSpencer Adams, CT HQ - Sacramento Concrete Testing Laboratory12/06/2021Spencer Adams
Yes
12/06/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-18-19-1 CONCLP 4-16 (Verified)