Sample Record
Owner Lab
- Sika Corporation
DIME Sample ID 2022-03-10-5
Project Information
Project Identifiers | Project ID: 993154 DEA: 120R3404 EFIS: 1218000079 |
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DIST-CO-RTE-PM | 12-ORA-73-12.9/R26.8 |
Award Date | 09/16/2021 |
Closeout Date | 09/28/2023 |
Work Description | REPLACE APPROACH SLABS, JOINT SEAL, AND APPLY METHACRYLATE ON BRIDGES. |
Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM MOULTON PARKWAY UNDERCROSSING IN LAGUNA NIGUEL TO BRISTOL STREET UNDERCROSSING IN COSTA MESA |
QA Service Level | 1 (Verified on 08/02/2021) |
Sample Information
Sample Taken Date | 03/10/2022 | Sample Unique Key | 5 |
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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 | 03/09/2022 |
Sample type | Per Request | A brief description of the sample | Rapid Setting Mortar |
The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Thao | Last name of sampler or witnessed by | Vu |
Title of sampler | Quality Manager | Telephone number of sampler | 1(714) 616 9079 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Sika - Santa Fe Springs | 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 | Sika |
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Mix no. | 2 | Materials Received | 03/09/2022 |
Lot no. | 3006137693 | Batch no. | 03092202W |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |