Sample Record

Owner Labs

  • CT SC - 3667 - Chico
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2025-03-10-3

Project Information

Project IdentifiersProject ID: 993253
DEA: 033F0604
EFIS: 0312000052
DIST-CO-RTE-PM03-GLE-162-76.3/78.6
Award Date02/02/2022
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date03/10/2025 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/10/2025
Sample typeQuality Assurance A brief description of the samplePolyester Concrete
The quantity of what the sample constitutesPermanent Tapers at Hinges 17 & 22 From where was the sample collectedJob Site
First name of sampler or witnessed byMatt Last name of sampler or witnessed byCrete
Title of sampler Telephone number of sampler5306823759
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKwik Bond Polymers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier11-0100
Structure name Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE03-GLE-162
Direction of Travel Post Mile
Lanes to be TestedLane #1 Station

Submitted Tests

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