DIME - Sample Record for DIME Sample ID 2022-03-10-43

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Sample Record

Owner Lab

CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-03-10-43

Project Information

Project Identifiers	Project ID: 993154 DEA: 120R3404 EFIS: 1218000079
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	43
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	03/17/2022
Sample type	Quality Assurance	A brief description of the sample	rapid set patching
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
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Sika Corporation	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 Corporation
Mix no.	3623	Materials Received	Sikaquick 2500
Lot no.	3006137693	Batch no.	03092202

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2022-03-10-43-1	CONCLP 2-16: Rapid Set Patching Materials	Spencer Adams, CT HQ - Sacramento Concrete Testing Laboratory	04/22/2022	Spencer Adams	Yes	04/22/2022

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2022-03-10-43-1 CONCLP 2-16 (Verified)