Sample Record

Owner Lab

  • T.P.A Construction Incorporated

DIME Sample ID 2023-08-25-58

Project Information

Project IdentifiersProject ID: 994537
DEA: 010L1604
EFIS: 0121000077
DIST-CO-RTE-PM01-MEN-1,101-Var
Award Date06/07/2023
Closeout DateNot set
Work DescriptionPOLYESTER CONCRETE OVERLAY, RAPID SETTING CONCRETE (PATCH), HMA.
Location DescriptionMENDOCINO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/25/2023)

Sample Information

Sample Taken Date08/25/2023 Sample Unique Key58
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 testing08/25/2023
Sample typePreliminary A brief description of the sampleCTS Rapid Set Cement
The quantity of what the sample constitutes1 BAGS From where was the sample collectedSupplier
First name of sampler or witnessed byPavel Last name of sampler or witnessed byTyukayev
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2023-08-25-57
The fabricator/manufacturer/facility nameCTS Cement Manufacturing Corp. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form225082523D Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerCTS Cement Manufacturing Corporation
Mix no.0 Materials ReceivedYES
Lot no.225082523D Batch no.225082523D

Submitted Tests

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