Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-10-05-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209732
DEA: 072881U4
EFIS: 0714000085
DIST-CO-RTE-PM07-LA-210-R16.1/R25.8
Award Date02/06/2015
Closeout Date02/18/2020
Work DescriptionCONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS.
Location DescriptionLOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date10/05/2016 Sample Unique Key10
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 testing10/05/2016
Sample typeQuality Control A brief description of the samplepolyester resin
The quantity of what the sample constitutes80 drums From where was the sample collectedSource
First name of sampler or witnessed byRandy Last name of sampler or witnessed bySlezak
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namereichhold azusa Transportation Laboratory (TL) NumberC594910
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypePolyester Mfg. Lot Number(s)00001005302
Batch number00001005302 Mix number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-10-05-10-5CONCLP 3-16: Polyester ResinMike MullinsCT HQ - Sacramento Concrete Testing Laboratory10/13/2016Mike Mullins
Yes
10/24/2016bond beam results from supplier