Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-03-10-43

Project Information

Project IdentifiersProject ID: 993154
DEA: 120R3404
EFIS: 1218000079
DIST-CO-RTE-PM12-ORA-73-12.9/R26.8
Award Date09/16/2021
Closeout DateNot set
Work DescriptionREPLACE APPROACH SLABS, JOINT SEAL, AND APPLY METHACRYLATE ON BRIDGES.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM MOULTON PARKWAY UNDERCROSSING IN LAGUNA NIGUEL TO BRISTOL STREET UNDERCROSSING IN COSTA MESA
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date03/10/2022 Sample Unique Key43
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 testing03/17/2022
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 byThao Last name of sampler or witnessed byVu
Title of samplerQuality Manager 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.3623 Materials ReceivedSikaquick 2500
Lot no.3006137693 Batch no.03092202

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-10-43-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory04/22/2022Spencer Adams
Yes
04/22/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


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