Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-04-06-60

Project Information

Project IdentifiersProject ID: 994242
DEA: 042J7404
EFIS: 0415000010
DIST-CO-RTE-PM04-SM-101-0.9/23.4
Award Date02/08/2023
Closeout DateNot set
Work DescriptionREMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA.
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING
QA Service Level1 (Verified on 09/28/2022)

Sample Information

Sample Taken Date04/06/2023 Sample Unique Key60
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 testing04/06/2023
Sample typeQuality Assurance A brief description of the sampleRapid Set
The quantity of what the sample constitutes1 bag From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCement All Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerCement All
Mix no.3709 Materials ReceivedRapid Set
Lot no.68901121 Batch no.68901121

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-06-60-1CONCLP 2-16: Rapid Set Patching MaterialsPhillip Montes, CT HQ - Sacramento Concrete Testing Laboratory04/18/2023Phillip Montes
Yes
06/28/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-06-60-1 CONCLP 2-16 (Verified)