Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2016-06-10-12
Project Information
| Project Identifiers | Project ID: 210757 DEA: 044H8304 EFIS: 0413000284 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-24,580,680,880&980-Var |
| Award Date | 10/15/2015 |
| Closeout Date | 04/14/2021 |
| Work Description | BRIDGE REPAIR WORK |
| Location Description | IN ALAMEDA COUNY AT VARIOUS LOCATIONS ON ROUTES 24,580,680,880,AND 980 |
| QA Service Level | 1 (Verified on 09/16/2015) |
Sample Information
| Sample Taken Date | 06/10/2016 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 06/14/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 2 tankers | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | P | Last name of sampler or witnessed by | R |
| Title of sampler | operation manager | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | reichhold azusa | Transportation Laboratory (TL) Number | c240498 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 0000983659 |
|---|---|---|---|
| Batch number | 0000983659 | Mix number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||