Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-10-29-7
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Project Information
| Project Identifiers | Project ID: 994455 DEA: 100X7524 EFIS: 1017000004 |
|---|---|
| DIST-CO-RTE-PM | 10-AMA-49-0.0/30.9 |
| Award Date | 02/24/2023 |
| Closeout Date | Not set |
| Work Description | Bridge widening and upgrading rails |
| Location Description | On State Highway in Amador and Calaveras Counties at Mokelumne River Bridge |
| QA Service Level | 1 (Verified on 01/04/2023) |
Sample Information
| Sample Taken Date | 10/29/2024 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 10/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Skid Portable |
| The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jessie | Last name of sampler or witnessed by | Wilson |
| 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 | Mokelumne River Bridge |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | 10-Ama-49 |
| Direction of Travel | South | Post Mile | |
| Lanes to be Tested | Lane #1 | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-29-7-1 CTM 342-August 2012 (Verified)