Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-06-06-57
Project Information
Project Identifiers | Project ID: 993445 DEA: 101M3504 EFIS: 1020000181 |
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DIST-CO-RTE-PM | 10-SJ-132-L0.7/5.8 |
Award Date | 03/03/2022 |
Closeout Date | 05/10/2023 |
Work Description | REPLACE APPROACH SLAB AND PLACE POLYESTER CONCRETE OVERLAY. |
Location Description | SAN JOAQUIN COUNTY NEAR VERNALIS AT VARIOUS LOCATIONS FROM ROUTE 132 EAST/580 SEPARATION TO ROUTE 132/33 SEPARATION AND OVERHEAD |
QA Service Level | 1 (Verified on 12/13/2021) |
Sample Information
Sample Taken Date | 06/06/2022 | Sample Unique Key | 57 |
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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 | 06/09/2022 |
Sample type | Quality Assurance | A brief description of the sample | Rapid Setting Mortar |
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 | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Sika - Santa Fe Springs | Transportation Laboratory (TL) Number | C001 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | Sika Corporation |
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Mix no. | 01 | Materials Received | 06/06/2022 |
Lot no. | 3006344957 | Batch no. | 06062201 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-06-06-57-1 CONCLP 2-16 (Verified)