Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-04-14-66
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Project Information
| Project Identifiers | Project ID: 994244 DEA: 051F6204 EFIS: 0514000039 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-152-1.9 |
| Award Date | 11/29/2022 |
| Closeout Date | 02/14/2024 |
| Work Description | WIDEN BRIDGE, CONCRETE BARRIER, AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | SANTA CRUZ COUNTY NEAR WATSONVILLE AT CORRALITOS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 04/14/2023 | Sample Unique Key | 66 |
|---|---|---|---|
| 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 | 04/14/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid set patching |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Emanuel | Last name of sampler or witnessed by | Rico |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cement All | Transportation Laboratory (TL) Number | 683297 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | Cement All |
|---|---|---|---|
| Mix no. | 3716 | Materials Received | Rapid Set |
| Lot no. | 68912082 | Batch no. | Unknown |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-14-66-1 CONCLP 2-16 (Verified)