Sample Record

Owner Labs

  • CT D06 - Millbrook Field Laboratory
  • CT HQ - FFS - Field Investigation Team (FIT)

DIME Sample ID 2026-04-17-3

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 Date04/17/2026 Sample Unique Key3
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 testing04/17/2026
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 byCristian Last name of sampler or witnessed bySuarez
Title of sampler Telephone number of sampler
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 identifier49-0276 R
Structure nameCholame Creek Bridge Right Bid Item96 - STRUCTURAL CONCRETE, BRIDGE (POLYMER FIBER)

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE05-SLO-46
Direction of TravelEast Post Mile54.91
Lanes to be TestedShoulder,Lane #1,Lane #2 Station

Submitted Tests

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