Sample Record
Owner Labs
- CT SC - 3672 - Novato Field Office
- CT HQ - FFS - Skid Testing
DIME Sample ID 2025-10-15-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
| Award Date | 04/26/2022 |
| Closeout Date | Not set |
| Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
| Location Description | MARIN 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 Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 10/15/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 10/21/2025 |
| 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 | Josh | Last name of sampler or witnessed by | Velono |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ghilotti Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 27-0092L | |
| Structure name | Olive Ave. UC | Bid Item | 110 - STRUCTURAL CONCRETE, BRIDGE (POLYMER FIBER) |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 04-MRN-101 |
| Direction of Travel | South | Post Mile | |
| Lanes to be Tested | Lane #1 | Station | R21.47 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-15-12-1 CTM 342-August 2012 (Verified)