Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-02-10-59
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993688 DEA: 043W4704 EFIS: 0421000370 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-10.8/11.15 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/29/2022) |
Sample Information
| Sample Taken Date | 02/10/2022 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 03/21/2022 |
| 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 | Jay | Last name of sampler or witnessed by | West |
| Title of sampler | Quality Specialist | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTS Cement Manufacturing Corp. | 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 | CTS Cement Manufacturing Corporation |
|---|---|---|---|
| Mix no. | 3635 | Materials Received | CTS Rapid Set DOT Repair Mix |
| Lot no. | 23102102 | Batch no. | 23102102 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-10-59-1 CONCLP 2-16 (Verified)