Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-19-27
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215304 DEA: 010E0814 EFIS: 0118000172 |
|---|---|
| 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 | 09/19/2022 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 set |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Supplier |
| 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 | 22-147 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CTS | 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 |
|---|---|---|---|
| Mix no. | 3662 | Materials Received | 9-19-2022 |
| Lot no. | 61110121 | Batch no. | 61110121 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-19-27-1 CONCLP 2-16 (Verified)