Sample Record
Owner Lab
- T.P.A Construction Incorporated
DIME Sample ID 2023-08-25-58
Project Information
Project Identifiers | Project ID: 994537 DEA: 010L1604 EFIS: 0121000077 |
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DIST-CO-RTE-PM | 01-MEN-1,101-Var |
Award Date | 06/07/2023 |
Closeout Date | Not set |
Work Description | POLYESTER CONCRETE OVERLAY, RAPID SETTING CONCRETE (PATCH), HMA. |
Location Description | MENDOCINO COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 04/25/2023) |
Sample Information
Sample Taken Date | 08/25/2023 | Sample Unique Key | 58 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/25/2023 |
Sample type | Preliminary | A brief description of the sample | CTS Rapid Set Cement |
The quantity of what the sample constitutes | 1 BAGS | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Pavel | Last name of sampler or witnessed by | Tyukayev |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | 2023-08-25-57 | |
The fabricator/manufacturer/facility name | CTS Cement Manufacturing Corp. | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 225082523D | Structure unique identifier | |
Structure name |
Material Information
Material Type | Rapid Set | Manufacturer | CTS Cement Manufacturing Corporation |
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Mix no. | 0 | Materials Received | YES |
Lot no. | 225082523D | Batch no. | 225082523D |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |