Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2016-05-06-5
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 210678 DEA: 030G0504 EFIS: 0314000029 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-5,113-Var |
| Award Date | 09/25/2015 |
| Closeout Date | 01/12/2017 |
| Work Description | OVERLAY 15 BRIDGE DECKS WITH POLYESTER AND METHACRYLATE |
| Location Description | YOLO COUNTY IN AND NEAR WOODLAND AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/26/2015) |
Sample Information
| Sample Taken Date | 05/06/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 05/10/2016 |
| Sample type | Quality Assurance | A brief description of the sample | polyester resin |
| The quantity of what the sample constitutes | 1gallon | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | patti | Last name of sampler or witnessed by | fonseca |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16-057 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | reichhold | Transportation Laboratory (TL) Number | C240493 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 0000974651 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 0000000 |
|---|---|---|---|
| Batch number | 0000974651 | Mix number |