Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-11-15-59

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215168
DEA: 101C5004
EFIS: 1016000026
DIST-CO-RTE-PM10-SJ-4,5-T15.5/R16.7,25.8/26.5
Award Date12/09/2020
Closeout Date09/14/2023
Work DescriptionCONSTRUCT JPCP, CRCP, AND APPROACH SLABS.
Location DescriptionSAN JOAQUIN COUNTY IN STOCKTON ON ROUTE 4 FROM 0.2 MILE EAST OF FRESNO AVENUE TO EL DORADO STREET AND ON ROUTE 5 FROM TAYLOR STREET OVERHEAD TO STOCKTON CHANNEL VIADUCT
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date11/15/2021 Sample Unique Key59
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 testing11/15/2021
Sample typeQuality Assurance A brief description of the sampleCTS Rapid Set Cement
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed bySpencer Last name of sampler or witnessed byAdams
Title of samplerMREA Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCTS Transportation Laboratory (TL) NumberC923939
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerCTS Cement Manufacturing Corporation
Mix no.3581 Materials ReceivedRapid Set DOT Repair Mix
Lot no.61104151 Batch no.61104151

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-15-59-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer Adams, CT HQ - Sacramento Concrete Testing Laboratory12/14/2021Phillip Montes
Yes
03/15/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-15-59-1 CONCLP 2-16 (Verified)