DIME » All Projects » Project - DEA: 101C5004 » Sample 2021-11-01-53 » Sample Details

Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-11-01-53

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 Date11/01/2021 Sample Unique Key53
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 testing11/02/2021
Sample typeQuality Assurance A brief description of the sampleRapid Set DOT
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byA Last name of sampler or witnessed byJose
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCTS Transportation Laboratory (TL) Number923937
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.3574 Materials ReceivedCTS Rapid Set DOT Repair Mix
Lot no.61112160 Batch no.61112160

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments