Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-09-19-27

Project Information

Project IdentifiersProject ID: 215304
DEA: 010E0814
EFIS: 0118000172
Award Date09/20/2021
Closeout DateNot set
Work DescriptionReplace & widen bridges
QA Service Level1 (Verified on 11/04/2020)

Sample Information

Sample Taken Date09/19/2022 Sample Unique Key27
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 testing09/19/2022
Sample typeQuality Assurance A brief description of the sampleRapid set
The quantity of what the sample constitutes2 bags From where was the sample collectedSupplier
First name of sampler or witnessed byTravis Last name of sampler or witnessed byChristie
Title of samplerSR Telephone number of sampler
Laboratory sample identification22-147 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCTS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerCTS
Mix no.3662 Materials Received9-19-2022
Lot no.61110121 Batch no.61110121

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-19-27-1CONCLP 2-16: Rapid Set Patching MaterialsRyan Crawford, CT HQ - Sacramento Concrete Testing Laboratory09/21/2022Ryan Crawford

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2022-09-19-27-1 CONCLP 2-16 (Verified)