Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-05-17-65
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215632 DEA: 074W5104 EFIS: 0718000365 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-0.8/47.8 |
| Award Date | 06/02/2021 |
| Closeout Date | 07/03/2023 |
| Work Description | DECK REPAIR, CLEAN EXPANSION JOINTS, REPLACE JOINT SEAL. |
| Location Description | IN LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.2 MILE WEST OF STERNS STREET UNDERCROSSING TO RINALDI STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/17/2021) |
Sample Information
| Sample Taken Date | 05/17/2022 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 05/19/2022 |
| Sample type | Quality Assurance | A brief description of the sample | HMWM |
| The quantity of what the sample constitutes | 2 pint cans | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gilberto | Last name of sampler or witnessed by | Gonzalez |
| Title of sampler | Quality Control | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik-Bond | Transportation Laboratory (TL) Number | 943111 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 22-50-191290 |
|---|---|---|---|
| Batch number | 2250191290 | Mix number | 2250191290 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-05-17-65-1 CONCLP 4-16 (Verified)