Sample Record
Owner Labs
- CT SC - 3667 - Redwood Valley/Fort Bragg
- CT HQ - FFS - Skid Testing
DIME Sample ID 2026-04-23-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001218 DEA: 010M9604 EFIS: 0123000106 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101,271-Var |
| Award Date | 06/23/2025 |
| Closeout Date | Not set |
| Work Description | POLYESTER CONCRETE OVERLAY, HMA, & COLD PLANE AC PAVEMENT. |
| Location Description | MENDOCINO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/05/2025) |
Sample Information
| Sample Taken Date | 04/23/2026 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/23/2026 |
| Sample type | Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | Trial Slab and Multiple Lanes | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Lorenz |
| Title of sampler | Telephone number of sampler | 7074978576 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwitbond Polymers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 10-0204L | |
| Structure name | Moore Street UC | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | 01-MEN-101 |
| Direction of Travel | South | Post Mile | |
| Lanes to be Tested | Lane #1,Lane #2 | Station | 30.43 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||