Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-06-10-12

Project Information

Project IdentifiersProject ID: 210757
DEA: 044H8304
EFIS: 0413000284
Award Date10/15/2015
Closeout Date04/14/2021
Location DescriptionIN ALAMEDA COUNY AT VARIOUS LOCATIONS ON ROUTES 24,580,680,880,AND 980
QA Service Level1 (Verified on 09/16/2015)

Sample Information

Sample Taken Date06/10/2016 Sample Unique Key12
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 testing06/14/2016
Sample typeQuality Assurance A brief description of the sample1 gallon can
The quantity of what the sample constitutes2 tankers From where was the sample collectedManufacturer
First name of sampler or witnessed byP Last name of sampler or witnessed byR
Title of sampleroperation manager Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namereichhold azusa Transportation Laboratory (TL) Numberc240498
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypePolyester Mfg. Lot Number(s)0000983659
Batch number0000983659 Mix number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments