Sample Record

Owner Labs

  • CT SC - 3667 - Red Bluff
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2025-11-05-11

Project Information

Project IdentifiersProject ID: 1000775
DEA: 022J9704
EFIS: 0221000154
DIST-CO-RTE-PM02-SHA-5,89-Var
Award Date02/26/2025
Closeout DateNot set
Work DescriptionBRIDGE POLYESTER CONCRETE OVERLAY AND METHACRYLATE DECK SEAL.
Location DescriptionSHASTA COUNTY ON ROUTE 5 AT VARIOUS LOCATIONS FROM ANTLER UNDERCROSSING TO SODA CREEK ROAD UNDERCROSSING AND ON ROUTE 89 AT VARIOUS LOCATIONS FROM HAT CREEK BRIDGE NO. 06-0085 TO CAYTON CREEK BRIDGE
QA Service Level1 (Verified on 12/04/2024)

Sample Information

Sample Taken Date11/05/2025 Sample Unique Key11
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 testing11/05/2025
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 byChris Last name of sampler or witnessed byBrace
Title of samplerAssociate Bridge Engineer Telephone number of sampler5302279435
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMcCuen Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier06-0113
Structure nameCreekside Rd UC Bid Item35 - PLACE POLYESTER CONCRETE OVERLAY

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE
Direction of Travel Post Mile59.97
Lanes to be Tested Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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