Sample Record

Owner Lab

  • Sika Corporation

DIME Sample ID 2023-04-04-3

Project Information

Project IdentifiersProject ID: 212085
DEA: 07296604
EFIS: 0713000057
DIST-CO-RTE-PM07-LA-10-14.0/19.0
Award Date06/04/2018
Closeout Date05/04/2023
Work DescriptionPAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK)
Location DescriptionIN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE
QA Service Level1 (Verified on 07/25/2018)

Sample Information

Sample Taken Date04/04/2023 Sample Unique Key3
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 testingNot set
Sample typePer Request A brief description of the sampleSikaquick VOH
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byThao Last name of sampler or witnessed byVu
Title of sampler Telephone number of sampler5623320278
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSika - Riverside Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerSika
Mix no.1243020 Materials Received04/04/2023
Lot no.1243020 Batch no.1243020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments