Sample Record

Owner Labs

  • CT SC - 3670 - Rancho Dominguez
  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-08-29-1

Project Information

Project IdentifiersProject ID: 1000268
DEA: 070W6504
EFIS: 0722000358
DIST-CO-RTE-PM07-LA-1,90,105,110,405-Var
Award Date06/27/2024
Closeout DateNot set
Work DescriptionSTRUCTURAL CONC, APPROACH SLAB, POLYESTER CONC OVERLAY, & JOINT SEAL.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date08/29/2025 Sample Unique Key1
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 testing08/29/2025
Sample typeAcceptance 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 byBasma Last name of sampler or witnessed byElberry
Title of samplerAssistant Structure Representative Telephone number of sampler(213) 793-9597
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePeterson Chase Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier53-0741
Structure nameVentura Blvd UC Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE07-LA-405
Direction of TravelNorth Post Mile39.00
Lanes to be TestedShoulder,Lane #1,Lane #2,Lane #3,Lane #4,Lane #5 Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-08-29-1-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jose Guzman, CT D08 - Fontana Southern Regional Laboratory09/14/202509/18/2025
Yes
09/18/2025Please perform skid test for Polyester Concrete Overlay at 7:00 AM (0700 hours) on Sunday, 9/14/25 on the 405 Freeway Northbound at the Ventura Blvd UC Bridge. This bridge is located on the Northbound 405 Freeway, just South of the 101 Freeway. Polyester Public - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2025-08-29-1-1 CTM 342-August 2012 (Verified)