Sample Record

Owner Labs

  • CT D06 - Fresno Construction Field Office
  • CT HQ - FFS - Field Investigation Team (FIT)

DIME Sample ID 2026-03-04-1

Project Information

Project IdentifiersProject ID: 215038
DEA: 051J7804
EFIS: 0518000052
DIST-CO-RTE-PM05-SLO-101-61.88/61.88
Award Date10/22/2024
Closeout DateNot set
Work DescriptionSAFETY IMPROVEMENTS
Location DescriptionWELLSONA SAFETY IMPROVEMENTS, SLO 101
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date03/04/2026 Sample Unique Key1
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 testing03/10/2026
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 byYe Last name of sampler or witnessed byYang
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalPortland Paso Robles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier49-0279R
Structure nameNB Wellsona Road UC Bid Item61 - 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-101-61.7/62.1
Direction of TravelNorth Post Mile
Lanes to be TestedShoulder,Lane #1,Lane #2 Station61.8

Submitted Tests

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