Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-10-14-2

Project Information

Project IdentifiersProject ID: 214627
DEA: 05344904
EFIS: 0500000505
DIST-CO-RTE-PM05-SBT-156-3/R8.2
Award Date05/19/2022
Closeout DateNot set
Work DescriptionSAN BENITO ROUTE 156 IMPROVEMENT PROJECT SAN BENITO RTE 156 IMPROVEMENT PROJECT; INCLUDES NEW BRIDGE AND WIDENING OF EXISTING BRIDGE.
Location DescriptionSAN BENITO COUNTY IN AND NEAR SAN JUAN BAUTISTA FROM THE ALAMEDA TO 0.2 MILE EAST OF FOURTH STREET/BUSINESS ROUTE 156
QA Service Level1 (Verified on 01/14/2020)

Sample Information

Sample Taken Date10/14/2024 Sample Unique Key2
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 testing10/14/2024
Sample typeQuality Assurance A brief description of the samplePortable Skid Testing
The quantity of what the sample constitutesSkid Testing From where was the sample collectedJob Site
First name of sampler or witnessed byJessie Last name of sampler or witnessed byWilson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAT THE JOB SITE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameMainline NB 156 Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypeCRCP (Continuously Reinforced Concrete Pavement)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE
Direction of TravelNorth 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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