Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-02-15-20

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date02/15/2022 Sample Unique Key20
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 testing03/15/2022
Sample typeQuality Assurance A brief description of the samplerapid set patching
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byJim Last name of sampler or witnessed byBluse
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika Corporation Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.3607 Materials ReceivedSikaquick 2500
Lot no.38861119200B-59 Batch no.38861119200B-59

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-02-15-20-1CONCLP 2-16: Rapid Set Patching MaterialsPhillip MontesCT HQ - Sacramento Concrete Testing Laboratory03/15/2022Phillip Montes
Yes
03/15/2022