Sample Record

Owner Labs

  • CT SC - 3665 - Rocklin
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2026-06-17-13

Project Information

Project IdentifiersProject ID: 1000704
DEA: 031J8001
EFIS: 0321000071
Permit Numbers: 0324NOP0141
DIST-CO-RTE-PM03---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level2 (Verified on 12/18/2024)

Sample Information

Sample Taken Date06/17/2026 Sample Unique Key13
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 testing06/17/2026
Sample typeProduction Start-Up A brief description of the sampleSkid Testing Request
The quantity of what the sample constitutescontractor's trail pass for skid testing From where was the sample collectedJob Site
First name of sampler or witnessed byKen Last name of sampler or witnessed byHaas
Title of sampler Telephone number of sampler5303206475
Laboratory sample identificationCT HQ - FFS - Skid Testing Linked DIME Sample ID
The fabricator/manufacturer/facility nameDees Burke Engineering Contractors Transportation Laboratory (TL) NumberCT HQ - FFS - Skid Testing
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

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

Submitted Tests

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

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Test File Attachments