Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-10-03-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-I5-2.5/R15.9 |
| Award Date | 04/28/2023 |
| Closeout Date | Not set |
| Work Description | Roadway rehabilitation and bridge improvements along I5 in Mount Shasta |
| Location Description | SIS I5 2.5/R15.9 |
| QA Service Level | 1 (Verified on 05/03/2023) |
Sample Information
| Sample Taken Date | 10/03/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/03/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Portable Skid Test |
| The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | samson | Last name of sampler or witnessed by | anthony |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Job Site | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | |
| Direction of Travel | Post Mile | ||
| Lanes to be Tested | Station |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||