Sample Record
Owner Lab
- Sika Corporation
DIME Sample ID 2022-12-21-6
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 | 12/21/2022 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Per Request | A brief description of the sample | Rapid Setting Mortar |
| 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 | Telephone number of sampler | 5623320278 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sika - Riverside | 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 | Sika |
|---|---|---|---|
| Mix no. | 1 | Materials Received | 12/21/2022 |
| Lot no. | 1228200 | Batch no. | 3006758674 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||