Sample Record
Owner Labs
- CT SC - 3667 - Redwood Valley/Fort Bragg
- CT HQ - FFS - Skid Testing
DIME Sample ID 2025-09-16-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994088 DEA: 01434844 EFIS: 0117000133 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-1-51.3/52.1 |
| Award Date | 12/12/2023 |
| Closeout Date | Not set |
| Work Description | Jack Peters Creek Bridge |
| Location Description | MENDOCINO COUNTY AT MENDOCINO FROM LARKIN ROAD TO 0.2 MILE SOUTH OF SURFWOOD ESTATES ROAD |
| QA Service Level | 1 (Verified on 07/11/2022) |
Sample Information
| Sample Taken Date | 09/16/2025 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 testing | 09/16/2025 |
| Sample type | Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | Multiple Lanes | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kari | Last name of sampler or witnessed by | Forbes |
| Title of sampler | Telephone number of sampler | 707-498-1012 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dees Burke | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 10-0150 | |
| Structure name | Jack Peters Creek Bridge | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 01-MEN-1 |
| Direction of Travel | Post Mile | ||
| Lanes to be Tested | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-09-16-20-1 CTM 342-August 2012 (Verified)