Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-12-17-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000078 DEA: 051P2804 EFIS: 0522000016 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR,-1-17.02/17.02 |
| Award Date | 04/19/2024 |
| Closeout Date | 04/01/2025 |
| Work Description | REPLACE SEPARATION BRIDGE GIRDER. |
| Location Description | SANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION |
| QA Service Level | 1 (Verified on 02/05/2024) |
Sample Information
| Sample Taken Date | 12/17/2024 | 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 | 12/17/2024 |
| Sample type | Acceptance | A brief description of the sample | POLYESTER |
| The quantity of what the sample constitutes | POLYESTER | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | HARISH | Last name of sampler or witnessed by | THAKUR |
| Title of sampler | Telephone number of sampler | 9152961873 | |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-12-17-1-1 CTM 342-August 2012 (Verified)