Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-11-29-32

Project Information

Project IdentifiersProject ID: 215075
DEA: 060Q9104
EFIS: 0614000005
DIST-CO-RTE-PM06-TUL-99-19.2/19.8
Award Date09/25/2020
Closeout DateNot set
Work DescriptionBRIDGE DECK AND OUTSIDE GIRDER REPLACEMENT.
Location DescriptionTULARE COUNTY NEAR TIPTON FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF AVENUE 152 OVERCROSSING
QA Service Level1 (Verified on 07/28/2020)

Sample Information

Sample Taken Date11/29/2021 Sample Unique Key32
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 testing11/29/2021
Sample typeQuality Assurance A brief description of the sampleGrout
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byPeter Last name of sampler or witnessed byMoua
Title of samplerStructure Rep Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika Corporation Transportation Laboratory (TL) NumberG-1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.3589 Materials ReceivedSikaGrout 212
Lot no.2721 1109620 B-42 Batch no.2721 1109620 B-42

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments