Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-16-37
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215304 DEA: 010E0814 EFIS: 0118000172 |
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DIST-CO-RTE-PM | 01-LAK-20,29,175-Var |
Award Date | 09/20/2021 |
Closeout Date | Not set |
Work Description | Replace & widen bridges |
Location Description | LAKE COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 11/04/2020) |
Sample Information
Sample Taken Date | 09/16/2022 | Sample Unique Key | 37 |
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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 | 09/19/2022 |
Sample type | Quality Assurance | A brief description of the sample | Rapid Setting Cement |
The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Travis | Last name of sampler or witnessed by | Christie |
Title of sampler | SR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | White Cap | 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 |
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Mix no. | 3663 | Materials Received | Rapid Set DOT Repair Mix |
Lot no. | 61108162 | Batch no. | 61108162 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-16-37-1 CONCLP 2-16 (Verified)