Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-09-30-41

Project Information

Project IdentifiersProject ID: 215591
DEA: 112N0724
EFIS: 1119000164
DIST-CO-RTE-PM11-IMP-111-R0.1/R1.2
Award Date05/27/2021
Closeout DateNot set
Work DescriptionCOLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA.
Location DescriptionIMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98.
QA Service Level1 (Verified on 07/06/2021)

Sample Information

Sample Taken Date09/30/2022 Sample Unique Key41
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 testing08/11/2022
Sample typeQuality Assurance A brief description of the sampleCTS Concrete Mix
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byS Last name of sampler or witnessed byAdams
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown 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.3659 Materials Received8-11-22
Lot no.23106072 Batch no.23106072

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-30-41-1CONCLP 2-16: Rapid Set Patching MaterialsRyan CrawfordCT HQ - Sacramento Concrete Testing Laboratory09/30/2022Ryan Crawford
Yes
10/10/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-30-41-1 CONCLP 2-16 (Verified)