Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-06-06-57

Project Information

Project IdentifiersProject ID: 993445
DEA: 101M3504
EFIS: 1020000181
DIST-CO-RTE-PM10-SJ-132-L0.7/5.8
Award Date03/03/2022
Closeout Date05/10/2023
Work DescriptionREPLACE APPROACH SLAB AND PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN JOAQUIN COUNTY NEAR VERNALIS AT VARIOUS LOCATIONS FROM ROUTE 132 EAST/580 SEPARATION TO ROUTE 132/33 SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 12/13/2021)

Sample Information

Sample Taken Date06/06/2022 Sample Unique Key57
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 testing06/09/2022
Sample typeQuality Assurance A brief description of the sampleRapid Setting Mortar
The quantity of what the sample constitutes 2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byThao Last name of sampler or witnessed byVu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika - Santa Fe Springs Transportation Laboratory (TL) NumberC001
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika Corporation
Mix no.01 Materials Received06/06/2022
Lot no.3006344957 Batch no.06062201

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-06-57-1CONCLP 2-16: Rapid Set Patching MaterialsPhillip Montes, CT HQ - Sacramento Concrete Testing Laboratory06/21/2022Phillip Montes
Yes
07/08/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-06-57-1 CONCLP 2-16 (Verified)