Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-23-69
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212880 DEA: 050F9704 EFIS: 0513000017 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-62.7 |
| Award Date | 03/17/2022 |
| Closeout Date | 02/14/2024 |
| Work Description | N. SOLEDAD OH DECK REPLACEMENT |
| Location Description | ON RTE 101 IN MONTEREY COUNTY NEAR SOLEDAD AT THE NORTH SOLEDAD OH BRIDGE BR 44-0091L/R |
| QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
| Sample Taken Date | 09/23/2022 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 12/06/2022 |
| Sample type | Authorization | A brief description of the sample | Rapid Set |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jay | Last name of sampler or witnessed by | West |
| Title of sampler | Quality analyst | Telephone number of sampler | |
| Laboratory sample identification | 22-158 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CTS Cement | 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 Cement Manufacturing Corporation |
|---|---|---|---|
| Mix no. | 3671 | Materials Received | Rapid Set DOT Repair Mix |
| Lot no. | 23109232 | Batch no. | 23109232 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-23-69-1 CONCLP 2-16 (Verified)