Sample Record

DIME Sample ID 2024-10-03-1

Project Information

Project IdentifiersProject ID: 994785
DEA: 023H32U4
EFIS: 0221000164
DIST-CO-RTE-PM02-SIS-I5-2.5/R15.9
Award Date04/28/2023
Closeout DateNot set
Work DescriptionRoadway rehabilitation and bridge improvements along I5 in Mount Shasta
Location DescriptionSIS I5 2.5/R15.9
QA Service Level1 (Verified on 05/03/2023)

Owner Lab

  • CT HQ - FFS - Skid Testing

Sample Information

Sample Taken Date10/03/2024 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing10/03/2024 Sample typeQuality Assurance
A brief description of the samplePortable Skid Test The quantity of what the sample constitutesSkid Testing
From where was the sample collectedJob Site First name of sampler or witnessed bysamson
Last name of sampler or witnessed byanthony Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameJob Site
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE
Direction of Travel Post Mile
Lanes to be Tested Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Test File Attachments