Sample Record

Owner Labs

  • CT SC - 3672 - Novato Field Office
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2025-09-12-5

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date09/12/2025 Sample Unique Key5
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 testing09/12/2025
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 byJosh Last name of sampler or witnessed byVelono
Title of samplerASR Telephone number of sampler9166218033
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier27-0090L & 27-0092L
Structure nameFAOH & OAUC Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE04-MRN-101
Direction of TravelSouth Post Mile20.88
Lanes to be TestedShoulder,Lane #1 Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-09-12-5-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)HARISH THAKUR, CT HQ - FFS - Skid Testing09/27/202509/27/2025
Yes
09/27/2025OLIVE AVE BRIDGEPublic - Test Data Visible
2025-09-12-5-2CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)HARISH THAKUR, CT HQ - FFS - Skid Testing09/27/202509/27/2025
Yes
09/27/2025FRANKLIN AVE BRIDGE 1FT FROM WALL NOT GRINDED Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2025-09-12-5-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2025-09-12-5-2 CTM 342-August 2012 (Verified)