Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-06-09-1

Project Information

Project IdentifiersProject ID: 215420
DEA: 060R2104
EFIS: 0614000058
DIST-CO-RTE-PM06-MAD-41-6.2/9.2
Award Date01/18/2023
Closeout DateNot set
Work DescriptionFOR 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 DescriptionMADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE
QA Service Level1 (Verified on 01/06/2021)

Sample Information

Sample Taken Date06/09/2023 Sample Unique Key1
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 testing06/09/2023
Sample typeQuality Assurance A brief description of the sampleRapid Set Patch
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byRob Last name of sampler or witnessed byDyer
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameQuikrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerQuikrete
Mix no.3721 Materials ReceivedDOT Mix
Lot no.370018 Batch no.2307

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-06-09-1-1CONCLP 2-16: Rapid Set Patching MaterialsSpencer Adams, CT HQ - Sacramento Concrete Testing Laboratory06/09/2023Spencer Adams
Yes
06/09/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-06-09-1-1 CONCLP 2-16 (Verified)