Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-04-07-34
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994128 DEA: 043W5304 EFIS: 0421000385 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-680-1.09 |
| Award Date | 01/19/2023 |
| Closeout Date | 11/30/2023 |
| Work Description | POLYESTER CONCRETE OVERLAY AND GRIND EXISTING CONCRETE PAVEMENT. |
| Location Description | BRIDGE DECK PROGRAM |
| QA Service Level | 1 (Verified on 08/08/2022) |
Sample Information
| Sample Taken Date | 04/07/2023 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 04/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | DOT Repair Mix |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTS | 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 | CTS |
|---|---|---|---|
| Mix no. | 3713 | Materials Received | DOT Repair Mix |
| Lot no. | 23102102801873 | Batch no. | 23102102801873 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-07-34-1 CONCLP 2-16 (Verified)