Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-02-13-80

Project Information

Project IdentifiersProject ID: 213598
DEA: 051F75U4
EFIS: 0518000092
DIST-CO-RTE-PM05-MON-101-R36.9/47.7
Award Date01/16/2019
Closeout Date01/11/2024
Work DescriptionCRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location DescriptionMONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
QA Service Level1 (Verified on 10/11/2018)

Sample Information

Sample Taken Date02/13/2023 Sample Unique Key80
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 testing02/13/2023
Sample typeQuality Assurance A brief description of the sampleRapid Set
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
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 nameCTS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerCTS
Mix no.3699 Materials ReceivedCement All
Lot no.68911162 Batch no.68911162

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-13-80-1CONCLP 2-16: Rapid Set Patching MaterialsPhillip Montes, CT HQ - Sacramento Concrete Testing Laboratory02/14/2023Phillip Montes
Yes
06/28/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-13-80-1 CONCLP 2-16 (Verified)