Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-06-09-1
Project Information
Project Identifiers | Project ID: 215420 DEA: 060R2104 EFIS: 0614000058 |
---|---|
DIST-CO-RTE-PM | 06-MAD-41-6.2/9.2 |
Award Date | 01/18/2023 |
Closeout Date | Not set |
Work Description | FOR CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE |
Location Description | MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE |
QA Service Level | 1 (Verified on 01/06/2021) |
Sample Information
Sample Taken Date | 06/09/2023 | Sample Unique Key | 1 |
---|---|---|---|
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 | 06/09/2023 |
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 | Rob | Last name of sampler or witnessed by | Dyer |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Quikrete | 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 | Quikrete |
---|---|---|---|
Mix no. | 3721 | Materials Received | DOT Mix |
Lot no. | 370018 | Batch no. | 2307 |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-06-09-1-1 CONCLP 2-16 (Verified)