Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-06-62
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993716 DEA: 010K6104 EFIS: 0120000123 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-var |
| Award Date | 06/13/2022 |
| Closeout Date | 09/21/2023 |
| Work Description | FURNISH AND PLACE POLYESTER CONCRETE OVERLAY; PLACE HMA. |
| Location Description | HUMBOLDT COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 09/06/2022 | Sample Unique Key | 62 |
|---|---|---|---|
| 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 | 09/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid Set Patch |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Thao | Last name of sampler or witnessed by | Vu |
| Title of sampler | Quality Manager | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | 0001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Sika Corporation |
|---|---|---|---|
| Mix no. | 3666 | Materials Received | Sikaquick 2500 |
| Lot no. | 3006558131 | Batch no. | 09062203 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-06-62-1 CONCLP 2-16 (Verified)