Sample Record

Owner Labs

  • CT D06 - Millbrook Field Laboratory
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2026-01-06-2

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Sample Information

Sample Taken Date01/06/2026 Sample Unique Key2
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 testing01/06/2026
Sample typeAcceptance A brief description of the sampleSkid Testing Request
The quantity of what the sample constitutesBridge- 2 Lanes and shoulders From where was the sample collectedJob Site
First name of sampler or witnessed byCristian Last name of sampler or witnessed bySuarez
Title of sampler Telephone number of sampler5592594817
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameATKINSON CONSTRUCTION Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier49-0277 L
Structure nameCholame Creek Overflow Bridge Left Bid Item96 - STRUCTURAL CONCRETE, BRIDGE (POLYMER FIBER)

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedN/A DIST-CO-RTE05-SLO-46
Direction of TravelEast Post Mile
Lanes to be TestedShoulder,Lane #1,Lane #2 Station1370+05.00

Submitted Tests

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