Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2025-04-27-5

Project Information

Project IdentifiersProject ID: 994358
DEA: 033J3304
EFIS: 0322000251
DIST-CO-RTE-PM03-SAC-12-0/0.5
Award DateNot set
Closeout DateNot set
Work DescriptionMMBN Project. Replace backup drive system, replace lift span deck, install hydraulic barrier system and new generator, replace electrical control system, install new traffic gates and elevators, traffic control,
Location DescriptionNot set
QA Service Level1 (Verified on 10/25/2022)

Sample Information

Sample Taken Date04/27/2025 Sample Unique Key5
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 testing04/28/2025
Sample typeQuality Assurance A brief description of the sample4 cores from existing Rio Vista bridge deck #3
The quantity of what the sample constitutes4 cores From where was the sample collectedJob Site
First name of sampler or witnessed byMichael Last name of sampler or witnessed byMullins
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete Core Detail description4 Cores from Rio Vista Bridge Deck 3
Structure namesRio Vista Bridge Type of materialConcrete Core

Submitted Tests

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