Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-12-10-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award DateNot set
Closeout DateNot set
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date12/10/2021 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 testing12/13/2021
Sample typeQuality Assurance A brief description of the sampleRapid Set
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byHein Last name of sampler or witnessed byVu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAquafin Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerAquafin
Mix no.3599 Materials ReceivedPavemend DOTline
Lot no.Unknown Batch no.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-12-10-19-1THIS TEST HAS BEEN SUPERSEDED.
CONCLP 2-16: Rapid Set Patching Materials
Spencer AdamsCT HQ - Sacramento Concrete Testing Laboratory01/07/2022Spencer Adams
Yes
01/07/2022THIS TEST HAS BEEN SUPERSEDED.
1 bag of material was received for testing so not all tests were performed.
2021-12-10-19-2CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory01/07/2022Spencer Adams
Yes
02/07/20221 bag of material was received for testing so not all tests were performed.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-12-10-19-1 CONCLP 2-16 (Verified)
DIME Test ID: 2021-12-10-19-2 CONCLP 2-16 (Verified)