Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-11-01-80

Project Information

Project IdentifiersProject ID: 993183
DEA: 031H2704
EFIS: 0316000082
DIST-CO-RTE-PM03-YUB-70-R11.2/13.5
Award Date10/14/2021
Closeout DateNot set
Work DescriptionUPGRADE BRIDGE RAILS & CONSTRUCT CONCRETE MEDIAN BARRIER.
Location DescriptionYUBA COUNTY NEAR LINDA AND MARYSVILLE FROM 2.4 MILES SOUTH OF FEATHER RIVER BOULEVARD UNDERCROSSING TO THE YUBA RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 08/16/2021)

Sample Information

Sample Taken Date11/01/2022 Sample Unique Key80
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 testing11/07/2022
Sample typeQuality Assurance A brief description of the sampleRapid set concrete mix
The quantity of what the sample constitutes1 60 lb. bag From where was the sample collectedManufacturer
First name of sampler or witnessed byManoharan Last name of sampler or witnessed bySelvendran
Title of samplerRE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCTS Transportation Laboratory (TL) Number87464
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameFeather River Blvd UC

Material Information

Material TypeRapid Set ManufacturerCTS
Mix no.3674 Materials Received11/7/22
Lot no.68910042N Batch no.68910042N

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-01-80-1CONCLP 2-16: Rapid Set Patching MaterialsPhillip Montes, CT HQ - Sacramento Concrete Testing Laboratory11/16/2022Phillip Montes
Yes
12/01/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-01-80-1 CONCLP 2-16 (Verified)