Sample Record

Owner Lab

  • CT SC - 3675 - Santa Barbara 1

DIME Sample ID 2025-07-22-10

Project Information

Project IdentifiersProject ID: 1000885
DEA: 051R2904
EFIS: 0523000262
DIST-CO-RTE-PM05-SB-101,217-Var
Award Date04/02/2025
Closeout DateNot set
Work DescriptionBRIDGE DECK REPAIRS, POLYSTER CONCRETE OVERLAYS, AND HMA (TYPE A).
Location DescriptionSANTA BARBARA COUNTY AT VARIOUS LOCATIONS.
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date07/22/2025 Sample Unique Key10
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 testing07/22/2025
Sample typeAuthorization A brief description of the sampleSkid Testing Request
The quantity of what the sample constitutesMultiple Lanes From where was the sample collectedJob Site
First name of sampler or witnessed byJose Fabian Last name of sampler or witnessed byVelasco Diaz
Title of samplerStructure Representative Telephone number of sampler6198643162
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTruesdell Corp. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier51-0338
Structure nameUnion Valley Parkway OC Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE05-SB-101
Direction of TravelEast Post Mile83.45
Lanes to be TestedShoulder,Lane #1 Station

Submitted Tests

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